Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual
Volume 14, Issue 1 , Pages 11-18 , 2011

The Intra/Extracardiac Conduit Fenestrated Fontan

Originally presented at the American Association for Thoracic Surgery Congential Course May 2010 as “Extracardiac vs Intra-atrial Lateral Tunnel Fontan: Extracardiac is Better: No it's not, they both have problems.”

  • Richard A. Jonas

      Affiliations

    • Corresponding Author InformationAddress correspondence to Richard A. Jonas, MD, Children's National Heart Institute, Children's National Medical Center, 111 Michigan Ave NW, Washington, DC 20010

References 

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  3. Mavroudis C, Deal BJ, Backer CL, et al. J. Maxwell Chamberlain Memorial Paper for congenital heart surgery (111 Fontan conversions with arrhythmia surgery: surgical lessons and outcomes). Ann Thorac Surg. 2007;84:1457–1465
  4. Fontan F, Kirklin JW, Fernandez G, et al. Outcome after a “perfect” Fontan operation. Circulation. 1990;81:1520–1536
  5. Puga FJ, Chiavarelli M, Hagler DJ. Modifications of the Fontan operation applicable to patients with left atrioventricular valve atresia or single atrioventricular valve. Circulation. 1987;76:III53–III60
  6. Jonas RA, Castaneda AR. Modified Fontan procedure: atrial baffle and systemic venous to pulmonary artery anastomotic techniques. J Card Surg. 1988;3:91–96
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  9. Hopkins RA, Armstrong BE, Serwer GA, et al. Physiological rationale for a bidirectional cavopulmonary shunt (A versatile complement to the Fontan principle). J Thorac Cardiovasc Surg. 1985;90:391–398
  10. Chang AC, Hanley FL, Wernovsky G, et al. Early bidirectional cavopulmonary shunt in young infants (Postoperative course and early results). Circulation. 1993;88:II149–II158
  11. Bridges ND, Jonas RA, Mayer JE, et al. Bidirectional cavopulmonary anastomosis as interim palliation for high-risk Fontan candidates (Early results). Circulation. 1990;82(suppl):IV170–IV176
  12. Douville EC, Sade RM, Fyfe DA. Hemi-Fontan operation in surgery for single ventricle: a preliminary report. Ann Thorac Surg. 1991;51:893–899
  13. Jonas RA. Comprehensive Surgical Management of Congenital Heart Disease. In: London: Hodder Arnold; 1994;p. 372
  14. Rodefeld MD, Bromberg BI, Schuessler RB, et al. Atrial flutter after lateral tunnel construction in the modified Fontan operation: a canine model. J Thorac Cardiovasc Surg. 1996;111:514–526
  15. Stamm C, Friehs I, Mayer JE, et al. Long-term results of the lateral tunnel Fontan operation. J Thorac Cardiovasc Surg. 2001;121:28–41
  16. Hirsch JC, Goldberg C, Bove EL, et al. Fontan operation in the current era: a 15-year single institution experience. Ann Surg. 2008;248:402–410
  17. Brown JW, Ruzmetov M, Deschner BW, et al. Lateral tunnel Fontan in the current era: Is it still a good option?. Ann Thorac Surg. 2010;89:556–562
  18. Marcelletti C, Corno A, Giannico S, et al. Inferior vena cava-pulmonary artery extracardiac conduit (A new form of right heart bypass). J Thorac Cardiovasc Surg. 1990;100:228–232
  19. Thompson LD, Petrossian E, McElhinney DB, et al. Is it necessary to routinely fenestrate an extracardiac Fontan?. J Am Coll Cardiol. 1999;34:539–544
  20. Fu S, Feng ZC, Dietmar S. Factors influencing pleural effusion after Fontan operation: an analysis with 95 patients. Chin Med Sci J. 2010;25:38–43
  21. Fiore AC, Turrentine M, Rodefeld M, et al. Fontan operation: a comparison of lateral tunnel with extracardiac conduit. Ann Thorac Surg. 2007;83:622–629
  22. Hakacova N, Lakomy M, Kovacikova L. Arrhythmias after Fontan operation: comparison of lateral tunnel and extracardiac conduit. J Electrocardiol. 2008;41:173–177
  23. Kumar SP, Rubinstein CS, Simsic JM, et al. Lateral tunnel versus extracardiac conduit Fontan procedure: a concurrent comparison. Ann Thorac Surg. 2003;76:1389–1396
  24. Huang CX. Relationship between autonomic innervation in crista terminalis and atrial arrhythmia. J Cardiovasc Electrophysiol. 2009;20:551–557
  25. Vargas FJ, Mayer JE, Jonas RA, et al. Anomalous systemic and pulmonary venous connections in conjunction with atriopulmonary anastomosis (Fontan-Kreutzer) (Technical considerations). J Thorac Cardiovasc Surg. 1987;93:523–532
  26. Michielon G, Gharagozloo F, Julsrud PR, et al. Modified Fontan operation in the presence of anomalies of systemic and pulmonary venous connection. Circulation. 1993;88:II141–II148
  27. Cohen MI, Bridges ND, Gaynor JW, et al. Modifications to the cavopulmonary anastomosis do not eliminate early sinus dysfunction. J Thorac Cardiovasc Surg. 2000;120:891–900
  28. Azakie A, McCrindle BW, Van Arsdell G, et al. Extracardiac conduit versus lateral tunnel cavopulmonary connections at a single institution: Impacton outcomes. J Thorac Cardiovasc Surg. 2001;122:1219–1228

PII: S1092-9126(11)00011-1

doi: 10.1053/j.pcsu.2011.01.010

Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual
Volume 14, Issue 1 , Pages 11-18 , 2011

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