[Fontan operation with extracardiac conduit on beating hearts].
OBJECTIVE
To evaluate the results of Fontan operation with extracardiac conduit on beating hearts.


METHODS
Forty-two patients (31 males and 11 females) age ranged from 3 to 19 years old included in this study. There were 19 double inlet-ventricle, 10 tricuspid atresia, and 3 patients with mitral atresia, 10 patients with other complex congenital cardiac malformations. Fontan operations with extracardiac conduit were performed in all patients with the help of cardiopulmonary bypass without hypothermia in this study. Atrial septal fenestration was performed in 8 patients. In one patient, bi-directional cardiopulmonary procedure was performed 2 years before Fontan operation.


RESULTS
There was one early death caused by acute hepatic function failure and one late death caused by repeated lung infections. The follow-up of 1 to 4.5 years showed that all patients' cardiac functions were grade I to II, and arterial oxygen saturation was 92% - 96%.


CONCLUSIONS
The early and mid-term outcome of Fontan operation with extracardiac conduit on beating hearts is good and the method can be used in the single ventricle repair.
Wang
Gang
G
Department of Cardiovascular Surgety, Xijing Hospital, Fourth Military University, Xi'an 710032, China.
Wang
Wei-xian
WX
Cai
Zhen-jie
ZJ
Yi
Ding-hua
DH
Yu
Shi-qiang
SQ
Liu
Jian-ping
JP
Zhang
Jin-bao
JB
Liu
Wei-yong
WY
Chen
Wen-sheng
WS
Zheng
Qi-jun
QJ
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005112:Extracorporeal Circulation; D005260:Female; D005500:Follow-Up Studies; D018729:Fontan Procedure / Q000379:methods*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D008297:Male