Skip to main content
SpringerLink
Log in

Reoperations After the Fontan Procedure

  • Chapter
Reoperations in Cardiac Surgery

Abstract

The Fontan operation for tricuspid atresia was first performed in 1968 (Fontan and Baudet 1971; Fontan et al. 1971). Several technical modifications of the procedure were developed and described (Kreutzer et al. 1973; Yacoub and Radley-Smith 1977; Björk et al. 1979; Doty et al. 1981; Fontan et al. 1983; Puga et al. 1987; de Leval et al. 1988).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Agarwal KC, Edwards WD, Feldt RH, Danielson GK, Puga FJ, McGoon DC (1982) Pathogenesis of non-obstructive fibrous peels in right-sided porcine-valved extracardiac conduits. J Thorac Cardiovasc Surg 83: 584–589

    PubMed  CAS  Google Scholar 

  • Alboliras ET, Porter C-BJ, Danielson GK et al. (1985) Results of the modified Fontan operation for congenital heart lesions in patients without preoperative sinus rhythm. J Am Coll Cardiol 6: 228–233

    Article  PubMed  CAS  Google Scholar 

  • Ben-Shachar G, Nicoloff DM, Edwards JE (1981) Separation of neointima from Dacron graft causing obstructions. Case following Fontan procedure for tricuspid atresia. J Thorac Cardiovasc Surg 82: 268–271

    Google Scholar 

  • Björk VO, Olin CL, Bjarke BB, Thorén CA (1979) Right atrial—right ventricular anastomosis for correction of tricuspid atresia. J Thorac Cardiovasc Surg 77: 452–458

    PubMed  Google Scholar 

  • Bull C, de Leval MR, Stark J, Taylor JFN, Macartney FJ (1983) Use of a subpulmonary ventricular chamber in the Fontan circulation. J Thorac Cardiovasc Surg 85: 21–31

    CAS  Google Scholar 

  • Choussat A, Fontan F, Besse P, Vallot F, Chauve A, Bricaud H (1978) Selection criteria for Fontan’s procedure. In: Anderson RH, Shinebourne EA (eds) Paediatric cardiology. Churchill Livingstone, Edinburgh, pp 559–566

    Google Scholar 

  • DeLeon SY, Koopot R, Mair DD et al. (1984) Surgical management of occluded conduits after the Fontan operation in patients with Glenn shunts. J Thorac Cardiovasc Surg 88: 601–605

    Google Scholar 

  • DeLeon S, Ilbawi MN, Idriss FS et al. (1986) Fontan type operation for complex lesions. J Thorac Cardiovasc Surg 92: 1029–1037

    Google Scholar 

  • de Leval M, Kilner P, Gewillig M, Bull C (1988) Total cavopulmonary connection: a logical alternative to atriopulmonary connection for complex Fontan operations. J Thorac Cardiovasc Surg 96: 682–695

    PubMed  Google Scholar 

  • Dobell ARC, Trusler GA, Smallhorn JUF, Williams WG (1986) Atrial thrombi after the Fontan operation. Ann Thorac Surg 42: 664–667

    Article  PubMed  CAS  Google Scholar 

  • Doty DB, Marvin WJ Jr, Lauer RM (1981) Modified Fontan procedure. J Thorac Cardiovasc Surg 81: 470–475

    PubMed  CAS  Google Scholar 

  • Fontan F, Baudet E (1971) Surgical repair of tricuspid atresia.Thorax 26: 240–248

    CAS  Google Scholar 

  • Fontan F, Mounicot FF, Baudet E, Simonneau J, Gordo J, Gouffrant JM (1971) “Correction” de l’atrésie tricuspidienne. Rapport de deux cas “corrigés” par l’utilisation d’une technique chirurgicale nouvelle. Ann Chir Thorac Cardiovasc 10(1): 39–47

    PubMed  CAS  Google Scholar 

  • Fontan F, Deville C, Quaegebeur J, Ottenkamp J, Sourdille N, Choussat A, Brom GA (1983) Repair of tricuspid atresia in 100 patients. J Thorac Cardiovasc Surg 85: 647–660

    PubMed  CAS  Google Scholar 

  • Gale AW, Danielson GK, McGoon DC, Wallace RB, Mair DD (1980) Fontan procedure for tricuspid atresia. Circulation 62: 91–96

    PubMed  CAS  Google Scholar 

  • Heck HA Jr, Doty DB (1981) Assisted circulation by phasic external lower body compression. Circulation 64 (suppl II): II-118–122.

    Google Scholar 

  • Humes RA, Porter CJ, Mair DD et al. (1987) Intermediate follow-up and predicted survival after the modified Fontan procedure for tricuspid atresia and double-inlet ventricle. Circulation 76 (suppl III): III-67–71

    Google Scholar 

  • Kirklin JK, Blackstone EH, Kirklin JW, Pacifico AD, Bargeron LM Jr (1986) The Fontan operation. Ventricular hypertrophy, age, and date of operation as risk factors. J Thorac Cardiovasc Surg 92: 1049–1064

    Google Scholar 

  • Kreutzer G, Galindez E, Bono H, de Palma C, Laura JP (1973) An operation for the correction of tricuspid atresia. J Thorac Cardiovasc Surg 66: 613–621

    CAS  Google Scholar 

  • Kreutzer GO, Vargas FJ, Schlichter AJ et al. (1982) Atriopulmonary anastomosis. J Thorac Cardiovasc Surg 83: 427–436

    PubMed  CAS  Google Scholar 

  • Laks H, Milliken JC, Perloff JK et al. (1984) Experience with the Fontan procedure. J Thorac Cardiovasc Surg 88: 939–951

    PubMed  CAS  Google Scholar 

  • Lee C-N, Schaff HV, Danielson GK, Puga FJ, Driscoll DJ (1986) Comparison of atriopulmonary versus atrioventricular connections for modified Fontan/Kreutzer repair of tricuspid valve atresia. J Thorac Cardiovasc Surg 92: 1038–1048

    PubMed  CAS  Google Scholar 

  • Matsuda H, Kawashima Y, Hirose H, Nakano S, Kishimoto H, Sano T (1986) Evaluation of total cavopulmonary shunt operation for single ventricle with common atrioventricular valve and left isomerism. Am J Cardiol 58: 180–182

    Article  PubMed  CAS  Google Scholar 

  • Matsuwaka R, Tomokuni T, Ishikawa S, Watanabe F, Matsushita T, Matsuda H (1987) Partially unroofed coronary sinus associated with tricuspid atresia. An important associated lesion in the Fontan operation. Eur J Cardiothorac Surg 1: 180–182

    Google Scholar 

  • Mayer JE Jr, Helgason H, Jonas RA et al. (1986) Extending the limits for modified Fontan procedures. J Thorac Cardiovasc Surg 92: 1021–1028

    PubMed  Google Scholar 

  • Milliken JC, Laks H, George B (1986) Use of a venous assist devise after repair of complex lesions of right heart. J Am Coll Cardiol 8: 922–929

    Article  PubMed  CAS  Google Scholar 

  • Moodie DS, Feldt RH, Wallace RB (1976) Transient protein-losing enteropathy secondary to elevated caval pressure and caval obstruction after the Mustard procedure. J Thorac Cardiovasc Surg 72: 379–381

    PubMed  CAS  Google Scholar 

  • Puga FJ, Chiaravella M, Hagler DJ (1987) Modifications of the Fontan operation applicable to patients with left atrioventricular valve atresia or single atrioventricular valve. Circulation 76 (suppl III): III-53–60

    Google Scholar 

  • Sanders SP, Wright GB, Keane JF, Norwood WI, Castaneda AR (1982) Clinical and hemodynamic results of the Fontan operation for tricuspid atresia. Am J Cardiol 49: 1733–1740

    Google Scholar 

  • Shannon FL, Campbell DN, Clarke DR (1986) Right atrial thrombosis: rare complication and modified Fontan procedure. Pediatr Cardiol 7: 209–212

    Google Scholar 

  • Stanton FE, Lurie PR, Lindesmith GG, Meyer BW (1981) The Fontan procedure for tricuspid atresia. Circulation 64 (suppl II): II-140–146

    Google Scholar 

  • Vargas FJ, Mayer JE Jr, Jonas RA, Castaneda AR (1987) Atrioventricular valve repair or replacement in atriopulmonary anastomosis: surgical considerations. Ann Thorac Surg 43: 403–405

    Article  PubMed  CAS  Google Scholar 

  • Yacoub M, Radley-Smith R (1977) The use of the Fontan procedure for treatment of single ventricle. Pediatric cardiology. Churchill-Livingstone, Edinburgh, pp 396–405

    Google Scholar 

Download references

Authors
  1. F. Fontan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. G. Fernandez
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. J. Stark
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. The Hospital for Sick Children, Great Ormond Street, WC1N 3JH, London, UK

    Jaroslav Stark MD, FRCS, FACS (Consultant Cardiothoracic Surgeon) (Consultant Cardiothoracic Surgeon)

  2. Division of Cardiothoracic Surgery, University of Alabama at Birmingham, University Station, 35294, Birmingham, Alabama, USA

    Albert D. Pacifico MD (Professor and Director) (Professor and Director)

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Fontan, F., Fernandez, G., Stark, J. (1989). Reoperations After the Fontan Procedure. In: Stark, J., Pacifico, A.D. (eds) Reoperations in Cardiac Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-1688-2_21

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-1688-2_21

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1690-5

  • Online ISBN: 978-1-4471-1688-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation