Early and late results of the modified Fontan procedure for doubleinlet left ventricle: The Mayo Clinic experience

Douglas D. Mair, Donald J. Hagler, Paul R. Julsrud, Francisco J. Puga, Hartzell V Schaff, Gordon K. Danielson

Research output: Contribution to journalArticle

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Abstract

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.

Original languageEnglish (US)
Pages (from-to)1727-1732
Number of pages6
JournalJournal of the American College of Cardiology
Volume18
Issue number7
DOIs
StatePublished - 1991

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Fontan Procedure
Heart Ventricles
Mortality
Varicose Veins
Reoperation
Cardiac Arrhythmias
Heart Failure
Hemorrhage

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Early and late results of the modified Fontan procedure for doubleinlet left ventricle : The Mayo Clinic experience. / Mair, Douglas D.; Hagler, Donald J.; Julsrud, Paul R.; Puga, Francisco J.; Schaff, Hartzell V; Danielson, Gordon K.

In: Journal of the American College of Cardiology, Vol. 18, No. 7, 1991, p. 1727-1732.

Research output: Contribution to journalArticle

Mair, Douglas D. ; Hagler, Donald J. ; Julsrud, Paul R. ; Puga, Francisco J. ; Schaff, Hartzell V ; Danielson, Gordon K. / Early and late results of the modified Fontan procedure for doubleinlet left ventricle : The Mayo Clinic experience. In: Journal of the American College of Cardiology. 1991 ; Vol. 18, No. 7. pp. 1727-1732.
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