What have we learnt 50 years after the first Fontan procedure?

被引:7
作者
Gargiulo, Gaetano D. [1 ]
Bassareo, Pier P. [2 ,3 ]
Careddu, Lucio [1 ]
Egidy-Assenza, Gabriele [1 ]
Angeli, Emanuela [1 ]
Calcaterra, Giuseppe [4 ]
机构
[1] Univ Bologna, S Orsola Malpighi Hosp Bologna, Pediat Cardiac Surg & GUCH Unit, Via Massarenti 9, I-40138 Bologna, Italy
[2] Univ Coll Dublin, Mater Misericordiae Univ Hosp, Dublin, Ireland
[3] Our Ladys Childrens Hosp Crumlin, Dublin, Ireland
[4] Univ Palermo, Palermo, Italy
关键词
Fontan; total cavopulmonary connection; univentricular heart; FOLLOW-UP; UNIVENTRICULAR HEART; PULMONARY-ARTERY; LONG-TERM; OPERATION; CIRCULATION; VENTRICLE; ELASTOGRAPHY; MORTALITY; VOLUME;
D O I
10.2459/JCM.0000000000000951
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The Fontan procedure is often the only definitive palliative surgical option for patients with a variety of complex CHD sharing in common, a single, dominant ventricle. In recent decades, imaging and therapeutic improvement have played a crucial role in those patients in whom many complications can hamper their life. After 50 years from the first procedure, heart transplantation remains the only definitive treatment for those with a failing Fontan circulation.
引用
收藏
页码:349 / 358
页数:10
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