Long-term results of the Fontan operation.
Modifications of the Fontan operation can afford excellent palliation for many patients with a variety of forms of single ventricle. In properly selected patients who are good candidates, early and late survival can be as high as 95-97%. However, mortality is considerably higher for patients with risk factors for poor outcome. For high-risk patients, inclusion of a fenestration may reduce morbidity and mortality. Important long-term undesirable events include the ongoing risk of death, arrhythmias, protein-losing enteropathy, and cardiac failure. The key to excellent long-term outcome is proper selection of patients for the operation.
Driscoll
D J
DJ
Division of Pediatric Cardiology, Mayo Clinic, 200 1st Street S.W., Rochester, MN 55905, USA. driscoll.david@mayo.edu
D000293:Adolescent; D001145:Arrhythmias, Cardiac / Q000209:etiology*; D002648:Child; D002675:Child, Preschool; D018729:Fontan Procedure / Q000009:adverse effects* / Q000379:methods*; D006801:Humans; D007223:Infant; D011504:Protein-Losing Enteropathies / Q000209:etiology*; D011788:Quality of Life; D012307:Risk Factors; D016019:Survival Analysis; D013923:Thromboembolism / Q000209:etiology*; D016896:Treatment Outcome