TY - JOUR
T1 - Early and late results of the modified Fontan procedure for doubleinlet left ventricle
T2 - The Mayo Clinic experience
AU - Mair, Douglas D.
AU - Hagler, Donald J.
AU - Julsrud, Paul R.
AU - Puga, Francisco J.
AU - Schaff, Hartzell V.
AU - Danielson, Gordon K.
PY - 1991/12
Y1 - 1991/12
N2 - Between May 1974 and March 1989, 155 patients with double-inlet left ventricle had the Fontan procedure performed at the Mayo Clinic. Age at operation ranged from nearly 2 to 41 years (median 10). The operative mortality rate from 1974 through 1980 (39 patients) was 21%, but from 1981 through 1989 (116 patients) it was reduced to 9%. The 17 late deaths were secondary to reoperation (n = 8), progressive myocardial failure (n = 5), sudden arrhythmia (n = 3) and bleeding varices (n = 1). Neither operative nor late mortality rate was significantly related to age at operation. At follow-up of 6 months to 11 years (mean 4.9 years) in 111 patients, 88% were in good or excellent condition and 12% were in fair or poor condition. The Fontan operation can be performed with a mortality risk of <10% in properly selected patients with double-inlet left ventricle. Late results are encouraging when contrasted with the clinical course of patients before this operative approach was utilized.
AB - Between May 1974 and March 1989, 155 patients with double-inlet left ventricle had the Fontan procedure performed at the Mayo Clinic. Age at operation ranged from nearly 2 to 41 years (median 10). The operative mortality rate from 1974 through 1980 (39 patients) was 21%, but from 1981 through 1989 (116 patients) it was reduced to 9%. The 17 late deaths were secondary to reoperation (n = 8), progressive myocardial failure (n = 5), sudden arrhythmia (n = 3) and bleeding varices (n = 1). Neither operative nor late mortality rate was significantly related to age at operation. At follow-up of 6 months to 11 years (mean 4.9 years) in 111 patients, 88% were in good or excellent condition and 12% were in fair or poor condition. The Fontan operation can be performed with a mortality risk of <10% in properly selected patients with double-inlet left ventricle. Late results are encouraging when contrasted with the clinical course of patients before this operative approach was utilized.
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U2 - 10.1016/0735-1097(91)90511-7
DO - 10.1016/0735-1097(91)90511-7
M3 - Article
C2 - 1720436
AN - SCOPUS:0025934092
SN - 0735-1097
VL - 18
SP - 1727
EP - 1732
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
IS - 7
ER -