scholarly journals Traditional Atriopulmonary Connection Fontan with Excellent Outcome for 32 Years

2020 ◽  
Vol 09 (01) ◽  
pp. e18-e20
Author(s):  
Yong Zhang ◽  
Minhua Fang ◽  
Zengwei Wang ◽  
Huishan Wang
Keyword(s):  
Pulmonary Artery ◽  
Electroconvulsive Therapy ◽  
Surgical Procedure ◽  
Pulmonary Stenosis ◽  
Right Atrial ◽  
Total Cavopulmonary Connection ◽  
Transposition Of Great Arteries ◽  
Excellent Outcome ◽  
Cavopulmonary Connection ◽  
Fontan Patients

AbstractAlthough the traditional right atrial–pulmonary artery (RA–PA) Fontan has been replaced by the total cavopulmonary connection, some RA–PA Fontan patients still have good outcome. We report a 37-year-old male who underwent traditional Fontan 32 years ago with the diagnosis of L-transposition of great arteries, subvalvular pulmonary stenosis and cardiac dextroversion. Among the recent CTA, electroconvulsive therapy, catheterization and angiography, pulsatile PA, uniform pulmonary blood, normal PA pressure and resistance were observed in this patient. The traditional RA–PA Fontan may be an alternative surgical procedure.

scholarly journals Total Cavopulmonary Connection Flow With Functional Left Pulmonary Artery Stenosis

Circulation ◽  
2005 ◽  
Vol 112 (21) ◽  
pp. 3264-3271 ◽  
Author(s):  
Kerem Pekkan ◽  
Hiroumi D. Kitajima ◽  
Diane de Zelicourt ◽  
Joseph M. Forbess ◽  
W. James Parks ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Left Pulmonary Artery ◽  
Artery Stenosis ◽  
Pulmonary Artery Stenosis ◽  
Total Cavopulmonary Connection ◽  
Cavopulmonary Connection

Total cavopulmonary connection for grown diminutive pulmonary artery after staged Blalock-Taussig shunt

1998 ◽  
Vol 46 (11) ◽  
pp. 1194-1199 ◽  
Author(s):  
Shunji Uchita ◽  
Kozo Matsuo ◽  
Tohru Ishida ◽  
Yoshitomo Okajima ◽  
Hiroyuki Aotsuka ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Total Cavopulmonary Connection ◽  
Cavopulmonary Connection ◽  
Blalock Taussig Shunt

Predicting the pressure of the total cavopulmonary connection: clinical testing of a mathematical equation

2019 ◽  
Vol 29 (8) ◽  
pp. 1066-1071
Author(s):  
Arianna Di Molfetta ◽  
Roberta Iacobelli ◽  
Silvia Rotella ◽  
Maria G. Gagliardi ◽  
Antonio Amodeo ◽  
...  
Keyword(s):  
Additional Data ◽  
Poor Correlation ◽  
Total Cavopulmonary Connection ◽  
Parametric Approach ◽  
Short Term ◽  
Multiple Factors ◽  
Retrospective Clinical Study ◽  
Predicted Values ◽  
Cavopulmonary Connection ◽  
Fontan Patients

AbstractIntroduction:Some authors advocate the use of a dedicated formula to predict the Fontan pressure starting from pre-Fontan catheterisation data. This paper aims at testing the predictive value of the mentioned formula through a retrospective clinical study.Methods and Results:Pre-Fontan catheterisation data and Fontan pressure measured at the completion were retrospectively collected. Pre-Fontan data were used to calculate the predicted pressure in the Fontan system. The predicted values were compared to the Fontan pressure measured at the Fontan completion and with the needs for fenestration. One hundred twenty-four Fontan patients were retrospectively enrolled (At Fontan: median age 30.73 [24.70–37.20] months, median weight 12.00 [10.98–14.15] kg). Fontan conduit was fenestrated in 78 patients. A poor correlation (r2 = 0.05128) between the measured and predicted data for non-fenestrated patients was observed. In the case of Fontan-predicted pressure <17.59 mmHg, the formula identified a good short-term clinical outcome with a sensitivity of 92%.Conclusion:The proposed formula showed a poor capability in estimating the actual pressure into the Fontan system and in identifying patients needing fenestration. As the pressure into the Fontan system is determined by multiple factors, the tested formula could be an additional data in a multi-parametric approach.

scholarly journals Changes in pulmonary artery size before and after total cavopulmonary connection

Heart ◽  
1997 ◽  
Vol 78 (5) ◽  
pp. 488-492 ◽  
Author(s):  
G. Buheitel ◽  
M. Hofbeck ◽  
U. Tenbrink ◽  
G. Leipold ◽  
J. von der Emde ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Total Cavopulmonary Connection ◽  
Before And After ◽  
Cavopulmonary Connection

Impact of age at bidirectional cavopulmonary anastomosis on haemodynamics after Fontan operation

2018 ◽  
Vol 28 (12) ◽  
pp. 1436-1443 ◽  
Author(s):  
Shuichi Shiraishi ◽  
Toshihide Nakano ◽  
Shinichiro Oda ◽  
Hideaki Kado
Keyword(s):  
Pulmonary Artery ◽  
Hypoplastic Left Heart Syndrome ◽  
Chest Tube ◽  
Total Cavopulmonary Connection ◽  
Left Heart ◽  
Hypoplastic Left Heart ◽  
Cavopulmonary Anastomosis ◽  
Bidirectional Cavopulmonary Anastomosis ◽  
Left Heart Syndrome ◽  
Cavopulmonary Connection

AbstractBackgroundsThe aim of this study was to assess the impact of age at bidirectional cavopulmonary anastomosis on haemodynamics after total cavopulmonary connection.MethodsWe conducted a retrospective analysis of 100 consecutive patients who underwent total cavopulmonary connection from 2010 to 2014. All patients had previously undergone bidirectional cavopulmonary anastomosis. These patients were classified into two groups according to age at bidirectional cavopulmonary anastomosis: younger group, <6 months (n=33), and older group, >6 months (n=67).ResultsThe proportion of hypoplastic left heart syndrome was higher in the younger group (48 versus 4%). After total cavopulmonary connection, the chest tube period was longer in the younger group (10.1±6.6 versus 6.7±4.5 days; p=0.009). Catheterisation 6 months after total cavopulmonary connection revealed that pulmonary artery pressure was higher (11.5±1.9 versus 10.4±2.1 mmHg; p=0.017) and Nakata index was lower (219±79 versus 256±70 mm2/m2; p=0.024) in the younger group. In patients with a non-hypoplastic left heart syndrome, there was no difference in post-operative haemodynamics between two groups, but the total amount of chest drainage after total cavopulmonary connection was larger in the younger group (109±95 versus 55±40 ml/kg; p=0.044).ConclusionsEarly bidirectional cavopulmonary anastomosis did not affect the outcome of total cavopulmonary connection. Longer chest tube period, smaller pulmonary artery, and higher pulmonary artery pressure after total cavopulmonary connection were recognised in early bidirectional cavopulmonary anastomosis patients, especially in hypoplastic left heart syndrome.

scholarly journals Recurrent sustained atrial arrhythmias and thromboembolism in Fontan patients with total cavopulmonary connection

2021 ◽  
Vol 33 ◽  
pp. 100754
Author(s):  
Alexander C. Egbe ◽  
William R. Miranda ◽  
Janaki Devara ◽  
Likhita Shaik ◽  
Momina Iftikhar ◽  
...  
Keyword(s):  
Total Cavopulmonary Connection ◽  
Atrial Arrhythmias ◽  
Cavopulmonary Connection ◽  
Fontan Patients
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