Pitfalls in Extracardiac Conduit Fontan Technique

Q3 Medicine

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-03-01 DOI:10.1053/j.optechstcvs.2021.08.003

Michael Daley MD , Bill Reid BA , Yves d'Udekem MD, PhD

引用次数: 1

Abstract

Optimizing Fontan blood flow dynamics is essential to attain the best early and late outcomes after the Fontan procedure. Although the extracardiac conduit is the most favored variant, recent studies have suggested it may not always carry the best outcomes. The apparent simplicity of the procedure may mask some of the technical nuances that need to be considered and addressed at the time of operation. We list the common technical pitfalls that may impact the outcomes and our recommendations for addressing them.

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心外导管Fontan技术的缺陷

优化Fontan血流动力学对于在Fontan手术后获得最佳的早期和晚期结果至关重要。虽然心外导管是最受欢迎的一种，但最近的研究表明，它可能并不总是带来最好的结果。该程序表面上的简单性可能掩盖了在操作时需要考虑和处理的一些技术上的细微差别。我们列出了可能影响结果的常见技术缺陷以及解决这些缺陷的建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Operative Techniques in Thoracic and Cardiovascular Surgery Medicine-Surgery

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： Operative Techniques in Thoracic and Cardiovascular Surgery provides richly illustrated articles on techniques in thoracic and cardiovascular surgery written by renowned surgeons. Each issue presents cardiothoracic topics in adult cardiac, congenital, and general thoracic surgery. Each specialty of interest to the thoracic and cardiovascular surgeon is explored through two different approaches to a specific surgical challenge. Each article is thoroughly illustrated with original line drawings, actual intraoperative photos, and supporting tables and graphs.