The modern Fontan operation shows no increase in mortality out to 20 years: A new paradigm

Journal of Thoracic and Cardiovascular Surgery

Volumn 148, Issue 6, 2014, Pages 2517-2524.e1

  Dabal, Robert J ^a   Kirklin, James K ^a   Kukreja, Manisha ^a   Brown, Robert N ^a   Cleveland, David C ^a   Eddins, Michael C ^b   Lau, Yung ^c  

^a University of Alabama at Birmingham   (United States)

^b UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE   (United States)

^c University of Alabama at Birmingham and Children's Hospital   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACETYLSALICYLIC ACID; WARFARIN; ANTICOAGULANT AGENT;

ANTICOAGULANT THERAPY; ARTICLE; CAVOPULMONARY CONNECTION; CONTROLLED STUDY; FENESTRATION; FONTAN PROCEDURE; FUNCTIONAL ASSESSMENT; HAZARD; HEART SUPRAVENTRICULAR ARRHYTHMIA; HUMAN; MAJOR CLINICAL STUDY; MORBIDITY; POLITEF IMPLANT; REOPERATION; SURGICAL MORTALITY; SURGICAL RISK; SURVIVAL; SURVIVAL RATE; THROMBOEMBOLISM; THROMBOSIS; TRANSPLANTATION; HEART DEFECTS, CONGENITAL; KAPLAN MEIER METHOD; MORTALITY; MULTIVARIATE ANALYSIS; PALLIATIVE THERAPY; POSTOPERATIVE COMPLICATIONS; PROPORTIONAL HAZARDS MODEL; RETROSPECTIVE STUDY; RISK ASSESSMENT; RISK FACTOR; SURVIVOR; TIME; TREATMENT OUTCOME;

ANTICOAGULANTS; FONTAN PROCEDURE; HEART DEFECTS, CONGENITAL; HUMANS; KAPLAN-MEIER ESTIMATE; MULTIVARIATE ANALYSIS; PALLIATIVE CARE; POSTOPERATIVE COMPLICATIONS; PROPORTIONAL HAZARDS MODELS; REOPERATION; RETROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; SURVIVORS; TIME FACTORS; TREATMENT OUTCOME;

EID: 84920019039     PISSN: 00225223     EISSN: 1097685X     Source Type: Journal    
DOI: 10.1016/j.jtcvs.2014.07.075     Document Type: Article

References (29)

1. F. Fontan, J.W. Kirklin, G. Fernandez, F. Costa, D.C. Naftel, and F. Tritto Outcome after a "perfect" Fontan operation Circulation 81 1990 1520 1536
2. J.K. Kirklin, R.N. Brown, A.S. Bryant, D.C. Naftel, E.V. Colvin, and F.B. Pearce Is the "perfect Fontan" operation routinely achievable in the modern era? Cardiol Young 18 2008 328 336
3. E.H. Blackstone, D.C. Naftel, and M.E. Tirner The decomposition of time-varying hazard into phases, each incorporating a separate stream of concomitant information J Am Statistical Assoc 81 1986 615 624
4. F. Fontan, and E. Baudet Surgical repair of tricuspid atresia Thorax 26 1971 240 248
5. F. Fontan, F.B. Mounicot, E. Baudet, J. Simonneau, J. Gordo, and J.M. Gouffrant "Correction" de l'atresie tricuspidienne. Rapport de deux cas "corriges" par l'utilisation d'une technique chirurgicale nouvelle Ann Chir Thorac Cardiovasc 10 1971 39 47
6. V.O. Bjork, C.L. Olin, B.B. Bjarke, and C.A. Thoren Right atrial-right ventricular anastomosis for correction of tricuspid atresia J Thorac Cardiovasc Surg 77 1979 452 458
7. M.S. Lemier, C. Ramaciotti, D. Stromberg, W.A. Scott, and S.R. Leonard The extracardiac lateral tunnel Fontan, constructed with bovine pericardium: comparison with the extracardiac conduit Fontan Am Heart J 151 2006 928 933
8. R.A. Humes, R.H. Feldt, C.J. Porter, P.R. Julsrud, F.J. Puga, and G.K. Danielson The modified Fontan operation for asplenia and polysplenia syndromes J Thorac Cardiovasc Surg 96 1988 212 218
9. C. Marcelletti, A. Corno, S. Giannico, and B. Marino Inferior vena cavapulmonary artery extracardiac conduit J Thorac Cardiovasc Surg 100 1990 228 232
10. M.R. de Leval, P. Kilner, M. Gewillig, and C. Bull Total cavopulmonary connection: a logical alternative to atriopulmonary connection for complex Fontan operations J Thorac Cardiovasc Surg 96 1988 682 695
11. E. Petrossian, V.M. Reddy, K.K. Collins, C.B. Culbertson, M.J. MacDonald, and J.J. Lamberti The extracardiac conduit Fontan operation using minimal approach extracorporeal circulation: early and midterm outcomes J Thorac Cardiovasc Surg 132 2006 1054 1063
12. V. Alexi-Meskishvili, S. Ovroutski, P. Ewert, I. Dahnert, F. Berger, and P.E. Lange Optimal conduit size for extracardiac Fontan operation Eur J Cardiothorac Surg 18 2000 690 695
13. K. Itatani, K. Miyaji, T. Tomoyasu, Y. Nakahata, K. Ohara, and S. Takamoto Optimal conduit size for extracardiac Fontan operation based on energy loss and flow stagnation Ann Thorac Surg 88 2009 565 573
14. G.S. Kopf, C.S. Kleinman, Z.M. Hijazi, J.T. Fahey, M.I. Dewar, and W.E. Hellenbrand Fenestrated Fontan operation with delayed transcatheter closure of atrial septal defect: improved results in high-risk patients J Thorac Cardiovasc Surg 103 1992 1039 1047
15. T. Geva, D.A. Ott, A. Ludomirsky, S.J. Argyle, and M.P. O'Laughlin Tricuspid atresia associated with aortopulmonary window: controlling pulmonary blood flow with a fenestrated patch Am Heart J 123 1992 260 262
16. J.S. Tweddell, M. Nersesian, K.A. Mussatto, M. Nugent, P. Simpson, and M.E. Mitchell Fontan palliation in the modern era: factors impacting mortality and morbidity Ann Thorac Surg 88 2009 1291 1299
17. A.C. Fiore, C. Tan, E. Aarmbrecht, C.B. Huddleston, E. Kim, and N. Goel Comparison of fenestrated and nonfenestrated patients undergoing extracardiac Fontan Ann Thorac Surg 97 2014 924 931
18. R.D. Jaquiss, and M. Imamura Single ventricle physiology: surgical options, indications and outcomes Curr Opin Cardiol 24 2009 113 118
19. C. Lee, C.H. Lee, S.W. Hwang, H.G. Lim, S.J. Kim, and J.Y. Lee Midterm followup of the status of Gore-Tex graft after extracardiac conduit Fontan procedure Eur Cardiothorac Surg 31 2007 1008 1012
20. Y. Ochiai, Y. Imoto, M. Sakamoto, T. Kajiwara, A. Sese, and M. Watanabe Midterm followup of the status of Gore-Tex graft after extracardiac conduit Fontan procedure Eur J Cardiothorac Surg 36 2009 63 68
21. J. Muller, F. Christov, C. Schreiber, J. Hess, and A. Hager Exercise capacity, quality of life, and daily activity in the long term followup of patients with univentricular heart and total cavopulmonary connection Eur Heart J 30 2009 2915 2920
22. M.L. Rigby, D.G. Gibson, M.C. Joseph, J.C. Lincoln, E.A. Shinebourne, and D.F. Shore Recognition of imperforate atrioventricular valves by two-dimensional echocardiography Br Heart J 47 1982 329 336
23. Z. Yin, C. Wang, H. Zhu, R. Zhang, H. Wang, and X. Li Exercise tolerance in extracardiac total cavopulmonary connection Asian Cardiovasc Thorac Surg 17 2009 39 45
24. P.A. Anderson, L.A. Sleeper, I. Mahony, S.D. Colan, A.M. Atz, and R.E. Breitbart Contemporary outcomes after the Fontan procedure: a Pediatric Heart Network multicenter study J Am Coll Cardiol 52 2008 86 98
25. M.N. Ilbawi, F.S. Idriss, A.J. Muster, S.Y. DeLeon, T.E. Berry, and C.E. Duffy Effects of elevated coronary sinus pressure on left ventricular function after the Fontan operation J Thorac Cardiovasc Surg 92 1986 231 237
26. M.I. Jacobs, and K.K. Pourmoghadam Thromboembolism and the role of anticoagulation in the Fontan patient Pediatr Cardiol 28 2007 457 464
27. E. Petrossian, V.M. Reddy, D.B. McElhinney, G.P. Akkersdijk, P. Moore, and A.J. Parry Early results of the extracardiac conduit Fontan operation J Thorac Cardiovasc Surg 117 1999 688 696
28. S. Balaji, C.L. Case, R.M. Sade, and P.C. Gillette Arrhythmias and electrocardiographic changes after the hemi-Fontan procedure Am J Cardiol 73 1994 828 829
29. S.K. Gandhi, B.I. Bromberg, M.D. Rodefeld, R.B. Schuessler, J.P. Boineau, and J.L. Cox Lateral tunnel suture line variation reduces atrial flutter after the modified Fontan operation Ann Thorac Surg 61 1996 1299 1309