Comparison of lateral tunnel and extracardiac conduit Fontan procedure

Ryul Lee Jeong, Gun Kwak Jae, Chang Kim Kwan, Kyoung Min Sun, Woong Han Kim, Jin Kim Yong, Ryang Rho Joon

Research output: Contribution to journalArticlepeer-review

30 Scopus citations

Abstract

The purpose of this study was to compare the outcomes of lateral tunnel (LT) and extracardiac conduit (ECC) Fontan procedures at a single institution. From April 1995 to December 2006, 165 Fontan procedures were performed (67 LT, 98 ECC). Pre-, intra- and postoperative variable values were compared between two different techniques. Operative mortality was 5 (3 LT, 2 ECC). Immediate postoperative transpulmonary gradient (LT 8.5±ECC 2.5 vs. 6.6±2.4 mmHg) and central venous pressure (LT 18.3±3.8 vs. ECC 15.6±2.4 mmHg) showed significant difference (P<0.001). The LT patients had a higher incidence of sinus node dysfunction in the postoperative period (22.4% vs. ECC 11.2%; P=0.05). Mean follow-up was 74.1±31.5 months in LT, and 31.7±28.1 months in ECC patients. There was one late death. Actuarial survival at 10 years is 92% for LT, and 89% for ECC patients (P=0.796). The LT and ECC, both, showed comparable early and midterm outcomes in operative morbidity and mortality, postoperative hemodynamics, survival. Use of ECC for modified Fontan operation reduces the risk of sinus node dysfunction and shows better outcome of immediate postoperative hemodynamics.

Original languageEnglish
Pages (from-to)328-330
Number of pages3
JournalInteractive Cardiovascular and Thoracic Surgery
Volume6
Issue number3
DOIs
StatePublished - 1 Jun 2007

Keywords

  • Congenital heart disease
  • Fontan procedure
  • Single ventricle

Fingerprint

Dive into the research topics of 'Comparison of lateral tunnel and extracardiac conduit Fontan procedure'. Together they form a unique fingerprint.

Cite this