Ann Thorac Surg 1996;62:1283
© 1996 The Society of Thoracic Surgeons
Discussion
Discussion
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See also page 1276.
DR CARLO MARCELLETTI (Rome, Italy): I enjoyed this presentation very much; I think it brought an important message. I would like to add our experience to yours.
We talk about late failure differently from acute failure. In 6 of our patients, the Fontan had to be revised several years after the operation. Four patients had received an atrial pulmonary anastomosis, and 2 patients had had an atrial ventricular anastomosis. The symptoms were congestive heart failure in all of them. Three patients presented with life-threatening supraventricular arrhythmias and 2 patients with recurrent cyanosis. Our results are comparable with those presented by Dr Hanley, and we fully agree with the rationale that reduced atrial distention, reduced pressure within the coronary sinus, and an optimal pulmonary blood flow pattern within the connection are major factors in correcting the symptoms.
DR JOHN L. MYERS (Pittsburgh, PA): We have had a similar group of 7 patients with a mean age of 18 years (range, 6.9 to 31 years). The interval since the Fontan . . . [Full Text of this Article]
Related Article
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Revision of Previous Fontan Connections to Extracardiac or Intraatrial Conduit Cavopulmonary Anastomosis
- Doff B. McElhinney, V. Mohan Reddy, Phillip Moore, and Frank L. Hanley
Ann. Thorac. Surg. 1996 62: 1276-1282.
[Abstract]
[Full Text]
Copyright © 1996 by The Society of Thoracic Surgeons.
