The Fontan Procedure: Evolution in Technique; Attendant Imperfections and Transplantation for "Failure"

Ryan R Davies, Jonathan M. Chen, Ralph S. Mosca

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Application of the Fontan procedure has allowed the survival of many patients with univentricular cardiac lesions into mid adulthood. Despite its ingenious design, implementation, and thoughtful modifications, its attendant hemodynamic perturbations persist; central venous hypertension and reduced cardiac output. These aberrations in physiology have led to pernicious changes in organ function. A more thorough understanding of these derangements and attempts at Fontan revision have temporized, yet the morbidity and patient attrition persists. Mechanical assistance to normalize the circulation is being investigated and holds some promise. At present, cardiac transplantation remains the last stage of palliation for many.

Original languageEnglish (US)
Pages (from-to)55-66
Number of pages12
JournalSeminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual
Volume14
Issue number1
DOIs
StatePublished - Mar 30 2011

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Fontan Procedure
Transplantation
Heart Transplantation
Cardiac Output
Hemodynamics
Hypertension
Morbidity
Survival

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

The Fontan Procedure : Evolution in Technique; Attendant Imperfections and Transplantation for "Failure". / Davies, Ryan R; Chen, Jonathan M.; Mosca, Ralph S.

In: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual, Vol. 14, No. 1, 30.03.2011, p. 55-66.

Research output: Contribution to journalArticle

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