The Fontan procedure or Fontan–Kreutzer procedure is a palliative surgical procedure used in children with univentricular hearts. It involves diverting the venous blood from the inferior vena cava (IVC) and superior vena cava (SVC) to the pulmonary arteries. The procedure varies for differing congenital heart pathologies. For example in tricuspid atresia, the procedure can be done where the blood does not pass through the morphologic right ventricle; i.e., the systemic and pulmonar… WebFeb 1, 2008 · The presence of a fenestration in the Fontan circulation increases the risk of paradoxical carbon dioxide embolism. Despite these potential problems, most young patients with a Fontan circulation tolerate laparoscopic abdominal surgery very well, as long as the intra-abdominal pressure is kept at ≤10 mm Hg, the duration of surgery is ...
Anticoagulation Algorithm For Fontan Patients - American …
Web1. Introduction. Transcatheter Fontan completion is an alternative in high-risk patients who are not favorable for surgical palliation [1], [2].We describe a modified technique of transcatheter Fontan completion using a commonly available stent graft without patient specific customization or prior surgical preparation. WebJul 23, 2024 · Full size image. Selective injection in the innominate vein and right hepatic vein is indicated to exclude venovenous connections. ... In our institution all patients with … boyd chevy hendersonville
Long-Term Outcomes After Fenestration Closure in High-Risk …
WebMay 1, 2024 · Many studies investigating fenestration in the context of Fontan procedure have been showing controversial results when it comes to whether this procedure truly improves the Surgical outcomes. The aim of this meta-analysis was to compare the early outcomes of a fenestrated (F) vs a nonfenestrated (NF) Fontan procedure. WebJan 15, 2002 · Fenestration of the Fontan circuit allows for shunt... Background— The Fontan procedure is the definitive operation for palliation of complex congenital heart disease with single-ventricle physiology. ... WebIn either method, a hole or "fenestration" may be made between the Fontan circuit and the right atrium. This is there so that if pressures become very high in the Fontan circuit, there is a "pop-off" into the heart. Patients with fenestrations may have a more stable post-operative course. Many fenestrations close on their own many months after ... guy fieri chophouse atlantic city