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149 Fontan Conversions.

149 Fontan Conversions.

Authors :
Backer, Carl L.
Mavroudis, Constantine
Source :
Methodist DeBakey Cardiovascular Journal. 2019, Vol. 15 Issue 2, p105-110. 6p. 3 Illustrations.
Publication Year :
2019

Abstract

Patients with a functionally univentricular heart who have had an atriopulmonary Fontan are at risk for atrial dilatation, atrial arrhythmias, and progressive circulatory failure. Between 1994 and 2018, we performed 149 Fontan conversions with arrhythmia surgery and epicardial pacemaker placement at Ann & Robert H. Lurie Children's Hospital of Chicago. This operation converts the atriopulmonary Fontan to an extracardiac Fontan that improves hemodynamics and controls the atrial arrhythmias. Operative mortality during that time was 2%, and freedom from death or heart transplant at 10 years is 84%. For properly selected patients, Fontan conversion improves both survival and quality of life. Patients with an atriopulmonary Fontan constitute an eroding population, as they face many comorbidities and have a decreased life expectancy without treatment; therefore, all patients with an atriopulmonary Fontan should be evaluated for this procedure. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
19476094
Volume :
15
Issue :
2
Database :
Academic Search Index
Journal :
Methodist DeBakey Cardiovascular Journal
Publication Type :
Academic Journal
Accession number :
138901256
Full Text :
https://doi.org/10.14797/mdcj-15-2-105