Michael Daley MD , Bill Reid BA , Yves d'Udekem MD, PhD
{"title":"Pitfalls in Extracardiac Conduit Fontan Technique","authors":"Michael Daley MD , Bill Reid BA , Yves d'Udekem MD, PhD","doi":"10.1053/j.optechstcvs.2021.08.003","DOIUrl":null,"url":null,"abstract":"<div><p>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.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 1","pages":"Pages 78-90"},"PeriodicalIF":0.0000,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Thoracic and Cardiovascular Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1522294221000696","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
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.
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.
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