One-stage Fontan procedure in patients with complex cyanotic congenital heart disease:report of 21 cases
Abstract：Objective To summarize the clinical experience and effect of One-stage Fontan procedure in pa-tients with complex cyanotic congenital heart disease .Methods From June 2007 to December 2012 ,21 patients with complex cyanotic congenital heart disease underwent One-stage Fontan procedure , 8 patients underwent atrioventricu-lar valve plastic operations at the same time .Surgical methods:intracardiac pipeline or tunnel were build in 12 pa-tients, extracardiac pipeline were build in 8 patients, end-to-end suturing between main pulmonary artery and inferior vena cava was performed in 1 patient.Atrial septal defect were retained or trepanning of interatrial septum were per -formed in 5 patients.Results The operations in 20 patients were successful ,and 1 patient died of low cardiac output syndrome on the right postoperative day .One patient underwent artificial mechanical heart valve replacement because of severe regurgitation after the atrioventricular valve plasty was performed 25 months later.The preoperative percuta-neous oxyhemoglobin saturation were between 67% and 91%,and postoperative percutaneous oxyhemoglobin satura-tion were between 88%and 95%.The cardiac function of all cases were in NYHA classⅠtoⅡ between 7 and 52 months of post-operation follow-up.Conclusion One-stage Fontan procedure in patients with complex cyanotic con-genital heart disease were safe and effective , without surgical wounds of reoperation ,and saving medical resource ,but the operation indication must be controlled .
Keywords：Fontan procedureOne-stage operationTotal cavopulmonary connectionCongenital heart disease
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 331-333,334 )