EFFECT OF BAFFLE FENESTRATION ON OUTCOME OF THE MODIFIED FONTAN OPERATION

Background. The "fenestrated Fontan" (surgical baffle fenestration followed by transcatheter test occlusion and permanent closure after postoperative recovery) was adopted in an effort to reduce perioperative mortality and morbidity. This study assesses the effect of baffle fenestration on...

Full description

Saved in:
Bibliographic Details
Published in:Circulation (New York, N.Y.) N.Y.), 1992-12, Vol.86 (6), p.1762-1769
Main Authors: BRIDGES, ND, MAYER, JE, LOCK, JE, JONAS, RA, HANLEY, FL, KEANE, JF, PERRY, SB, CASTANEDA, AR
Format: Article
Language:English
Subjects:
Biological and medical sciences
Cardiac & Cardiovascular Systems
Cardiac Surgical Procedures - methods
Cardiology. Vascular system
Cardiovascular System & Cardiology
Child
Child, Preschool
Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava
Follow-Up Studies
Heart
Heart Defects, Congenital - physiopathology
Heart Defects, Congenital - surgery
Hemodynamics
Humans
Life Sciences & Biomedicine
Medical sciences
Peripheral Vascular Disease
Postoperative Complications
Retrospective Studies
Science & Technology
Treatment Outcome
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background. The "fenestrated Fontan" (surgical baffle fenestration followed by transcatheter test occlusion and permanent closure after postoperative recovery) was adopted in an effort to reduce perioperative mortality and morbidity. This study assesses the effect of baffle fenestration on outcome. Methods and Results. Patients having a modified Fontan operation with a cavocaval baffle and cavopulmonary anastomosis were retrospectively selected for study. Those with baffle fenestration (n=91) were compared with those without baffle fenestration (n=56) with respect to preoperative risk factors, age, anatomy, surgical date, and presence or absence of a previous bidirectional cavopulmonary anastomosis. Outcome variables were failure (death or take-down) and duration of postoperative pleural effusions and hospitalization. Survival and clinical status after hospital discharge were ascertained. The two groups did not appear to differ with respect to age or anatomic diagnosis. Patients having baffle fenestration were at significantly greater preoperative risk by univariate and multivariate analysis (p
ISSN:0009-7322
1524-4539
DOI:10.1161/01.CIR.86.6.1762