Congenital: Fontan
The impact of pulmonary artery size on midterm outcomes after nonfenestrated Fontan operation
We sought to identify the impact of pulmonary artery size on outcomes after nonfenestrated total cavopulmonary connection. In a subgroup of patients with right-sided bidirectional cavopulmonary shunt, the impact of each branch pulmonary artery size was individually determined.Preoperative N-terminal pro-brain natriuretic peptide is associated with Fontan outcomes
The role of preoperative N-terminal pro-brain natriuretic peptide level in patient outcomes after the Fontan operation remains unclear.Biventricular conversion after Fontan completion: A preliminary experience
To assess the feasibility and outcomes of biventricular conversion following takedown of Fontan circulation.Long-term outcomes of warfarin versus aspirin after Fontan surgery
Because of the nature of the Fontan physiology, patients are at an increased risk of thromboembolic complications. As such, warfarin or aspirin is generally prescribed lifelong for thromboprophylaxis. This study aimed to compare long-term rates of cerebrovascular injury, thrombosis, bleeding, bone mineral density, and quality of life in people living with Fontan circulation receiving warfarin compared with aspirin.Long-term outcomes following Fontan takedown in Australia and New Zealand
Fontan takedown remains an option for the management of Fontan failure. We sought to evaluate early and late outcomes after Fontan takedown.Protein-losing enteropathy and plastic bronchitis after the Fontan procedure
Protein losing enteropathy and plastic bronchitis are severe complications in Fontan circulation, with 5-year survival ranging from 46% to 88%. We report risk factors and outcomes of protein losing enteropathy and plastic bronchitis in patients undergoing the Fontan.A preoperative estimate of central venous pressure is associated with early Fontan failure
Early Fontan failure is a serious complication after total cavopulmonary connection, characterized by high central venous pressure, low cardiac output, and resistance to medical therapy. This study aimed to estimate postoperative central venous pressure in patients with total cavopulmonary connection using data routinely collected during preoperative assessment. We sought to determine if this metric correlated with measured postoperative central venous pressure and if it was associated with early Fontan failure.
