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Ann Thorac Surg 1999;67:1523-1524
© 1999 The Society of Thoracic Surgeons

Key References

The Fontan operation

John J. Lamberti, MDa, Karen C. Uzark, PhDa

a Children’s Heart Institute, Children’s Hospital and Health Center, San Diego, California, USA

Address reprint requests to Dr Lamberti, Children’s Hospital and Health Center, 3030 Children’s Way, Suite 310, San Diego, CA 92123

Historical aspects and development of the Fontan operation

  1. Fontan F., Baudet E. Surgical repair of tricuspid atresia. Thorax 1971;26:240-248.[Abstract/Free Full Text]
  2. Kreutzer G., Galindez E., Bono H., de Palma C., Laura J. An operation for the correction of tricuspid atresia. J Thorac Cardiovasc Surg 1973;66:613-621.[Medline]
  3. Choussat P., Fontan F., Besse P., Vallot F., Chauve A., Bricaud H. Selection criteria for Fontan’s procedure. In: Anderson R., Shineborne E., eds. Paediatric cardiology. New York: Churchill-Livingstone, 1977:559-566.
  4. Bjork V., Olin C., Bjarke B., Thoren C. Right atrial–right ventricular anastomosis for correction of tricuspid atresia. J Thorac Cardiovasc Surg 1979;77:452-458.[Abstract]
  5. Kreutzer G., Vargas F., Schlicter A., et al. Atriopulmonary anastomosis. J Thorac Cardiovasc Surg 1982;83:427-436.[Abstract]
  6. Fontan F., Deville C., Quaegebeur J., et al. Repair of tricuspid atresia in 100 patients. J Thorac Cardiovasc Surg 1983;85:647-660.[Abstract]
  7. Fontan F., Kirklin J.W., Fernandez G., et al. Outcome after a "Perfect" Fontan operation. Circulation 1990;81:1520-1536.[Abstract/Free Full Text]
  8. Cogwill L.D. The Fontan procedure: a historical review. Ann Thorac Surg 1991;51:1026-1030.[Abstract]
  9. Casteneda A.R. From Glenn to Fontan: a continuing evolution. Circulation 1992;86(Suppl II):80-84.
  10. Norwood W.I., Jacobs M. Fontan’s procedure in two stages. Am J Surg 1993;166:548-551.[Medline]
Technical aspects/variations and staging

  1. Castaneda A.R., Bridges N.D. The Fontan operation with a fenestrated patch: rationale and results. Cardio Young 1993;3:202-206.
  2. Cochrane A.D., Brizard C.P., Penny D.J., et al. Management of the univentricular connection: are we improving?. Eur J Cardiothorac Surg 1997;12:107-115.[Abstract]
  3. DeLeval M.R., Kilner P., Gewilling M., Bull C. Total cavopulmonary connection: a logical alternative to atriopulmonary connection for complex Fontan operations. J Thorac Cardiovasc Surg 1988;96:682-695.[Abstract]
  4. Gandhi S.K., Bromberg B.I., Rodefeld M.D., Schuessler R.B., Boineau J.P., Cox J.L., Huddleston C.B. Lateral tunnel suture line variation reduces atrial flutter after the modified Fontan operation. Ann Thorac Surg 1996;61:1299-1309.[Abstract/Free Full Text]
  5. Harake B., Kuhn M., Jarmakani J., et al. Acute hemodynamic effects of adjustable atrial septal defect closure in the lateral tunnel Fontan procedure. J Am Coll Cardiol 1994;23:1671-1676.[Abstract]
  6. Hashimoto K., Kurosawa H., Tanaka K., et al. Total cavopulmonary connection without the use of prosthetic material: technical considerations and hemodynamic consequences. J Thorac Cardiovasc Surg 1995;110:625-632.[Abstract/Free Full Text]
  7. Imai Y., Takanashi Y., Hoshino S., Terada M., Aoki M., Ohta J. Modified Fontan procedure in ninety-nine cases of atrioventricular valve regurgitation. J Thorac Cardiovasc Surg 1997;3:262-269.
  8. Jacobs M.L., Norwood W.I. Fontan operation: influence of modifications on morbidity and mortality. Ann Thorac Surg 1994;58:945-952.[Abstract]
  9. Kreutzer J., Keane J.F., Lock J.E., Walsh E.P., Jonas R.A., Castaneda A.R., Mayer J.E. Conversion of modified Fontan procedure to lateral atrial tunnel cavopulmonary anastomosis. J Thorac Cardiovasc Surg 1996;111:1169-1176.[Abstract/Free Full Text]
  10. Lamberti J., Spicer R., Waldman J.D., et al. The bidirectional cavopulmonary shunt. J Thorac Cardiovasc Surg 1990;100:22-30.[Abstract]
  11. McElhinney D.B., Reddy V.M., Moore P., Hanley F.L. Revision of previous Fontan connections to extracardiac or intraatrial conduit cavopulmonary anastomosis. Ann Thorac Surg 1996;2:1276-1283.
  12. Podzolkov V.P., Zaets S.B., Chiaureli M.R., Alekyan B.G., Zotova L.M., Chernikh I.G. Comparative assessment of Fontan operation in modifications of atriopulmonary and total cavopulmonary anastomosis. Eur J Cardiothorac Surg 1997;11:458-465.[Abstract]
Preoperative factors, postoperative care, and complications

  1. Cecchin F., Johnsrude C.L., Perry J.C., Friedman R.A. Effect of age and surgical technique on symptomatic arrhythmias after the Fontan procedure. Am J Cardiol 1995;76:386-391.[Medline]
  2. Feldt R.H., Driscoll D.J., Offord K.P., et al. Protein-losing enteropathy after the Fontan operation. J Thorac Cardiovasc Surg 1996;12:672-680.
  3. Finta K.M., Beekman R.H., Lupinetti F.M., Bove E.L. Systemic ventricular outflow obstruction progresses after the Fontan operation. Ann Thorac Surg 1994;58:1108-1113.[Abstract]
  4. Gelatt M., Hamilton R.M., McCrindle B.W., Williams W.G., Trusler G.A., Freedom R.M. Risk factors for atrial tachyarrhythmias after the Fontan operation. J Am Coll Cardiol 1994;24:1735-1741.[Abstract]
  5. Jahangiri M., Ross D.B., Redington A.N., Lincoln C., Shinebourne E.A. Thromboembolism after the Fontan procedure and its modifications. Ann Thorac Surg 1994;58:1409-1414.[Abstract]
  6. Lamberti J.J., Mainwaring R.D., Spicer R.L., Uzark K.C., Moore J.W. Factors influencing perioperative morbidity during palliation of the univentricular heart. Ann Thorac Surg 1995;60(Suppl):550-553.
  7. Rychik J., Rome J.J., Jacobs M.L. Late surgical fenestration for complications after the Fontan operation. Circulation 1997;96:33-36.[Abstract/Free Full Text]
  8. Spicer R.L., Uzark K.C., Moore J.W., Mainwaring R.D., Lamberti J.J. Aortopulmonary collateral vessels and prolonged pleural effusions after modified Fontan procedures. Am Heart J 1996;131:1164-1168.[Medline]
Outcomes

  1. Canobbio M.M., Mair D.D., Van Der Velde M., Koos B.J. Pregnancy outcomes after the Fontan repair. J Am Coll Cardiol 1996;28(3):763-767.[Abstract]
  2. Cetta F., Feldt R.H., O’Leary P.W., et al. Improved early morbidity and mortality after Fontan operation: the Mayo Clinic experience, 1987 to 1992. J Am Coll Cardiol 1996;28:480-486.[Abstract]
  3. Driscoll D.J., Offord K.P., Feldt R.H., Schaff H.V., Puga F.J., Danielson G.K. Five to fifteen year follow-up after Fontan Operation. Circulation 1992;85:469-496.[Abstract/Free Full Text]
  4. Farrell P., Chang A., Murdison K., Baffa M., Norwood W., Murphy J. Outcome and assessment after the modified Fontan procedure for hypoplastic left heart syndrome. Circulation 1992;85:116-122.[Abstract/Free Full Text]
  5. Gentles T.L., Mayer J.E., Jr, Gauvreau K., et al. Fontan operation in five hundred consecutive patients: factors influencing early and late outcome. J Thorac Cardiovasc Surg 1997;114:376-391.[Abstract/Free Full Text]
  6. Gentles T.L., Gauvreau K., Mayer J.E., Jr, et al. Functional outcome after the Fontan operation: factors influencing late morbidity. J Thorac Cardiovasc Surg 1997;114:392-405.[Abstract/Free Full Text]
  7. Girod D.A., Fontan F., Deville C., Ottenkamp J., Choussat A. Long-term results after the Fontan operation for tricuspid atresia. Circulation 1987;75:605-610.[Abstract/Free Full Text]
  8. Harrison D.A., Liu P., Walters J.E., et al. Cardiopulmonary function in adult patients late after Fontan repair. J Am Coll Cardiol 1995;26:1016-1021.[Abstract]
  9. Kirklin J.K., Blackstone E., Kirklin J.W., Pacifico A., Bargeron L. The Fontan operation. Ventricular hypertrophy, age, and date of operation as risk factors. J Thorac Cardiovasc Surg 1986;92:1049-1064.[Abstract]
  10. Knott-Craig C.J., Danielson G.K., Schaff H.V., Puga F.J., Weaver A.L., Driscoll D.D. The modified Fontan operation. An analysis of risk factors for early postoperative death or takedown in 702 consecutive patients from one institution. J Thorac Cardiovasc Surg 1995;109:1237-1243.
  11. Mair D.D., Hagler D.J., Julsrud P.R., Puga F.J., Schaff H.V., Danielson G.K. Early and late results of the modified Fontan procedure for double-inlet left ventricle: the Mayo Clinic Experience. J Am Coll Cardiol 1991;18:1727-1732.[Abstract]
  12. Najm H.K., Williams W.G., Coles J.G., Rebeyka I.M., Freedom R.M. Pulmonary atresia with intact ventricular septum: results of the Fontan procedure. Ann Thorac Surg 1997;63:669-675.[Abstract/Free Full Text]
  13. Rosenthal D.N., Friedman A.H., Kleinman C.S., Kopf G.S., Rosenfeld L.E., Hellenbrand W.E. Thromboembolic complications after Fontan operations. Circulation 1995;92(Suppl II):287-293.[Abstract/Free Full Text]
  14. Troutman W.B., Barstow T.J., Galindo A.J., Cooper D.M. Abnormal dynamic cardiorespiratory responses to exercise in pediatric patients after Fontan procedure. J Am Coll Cardiol 1998;31:668-673.[Abstract/Free Full Text]
  15. Uzark K., Lincoln A., Lamberti J.J., Mainwaring R.D., Spicer R.L., Moore J.W. Neurodevelopmental outcomes in children with Fontan repair of functional single ventricle. Pediatrics 1998;101:630-633.[Abstract/Free Full Text]




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