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The Fontan procedure: analysis of cohorts and late complications

Published online by Cambridge University Press:  19 August 2008

Robert M. Freedom*
Affiliation:
Divisions of Cardiology; Departments of Pediatrics, Pathology, Diagnostic Imaging, and Surgery, the University of TorontoFaculty of Medicine, Toronto, Canada Departments of Pathology and Laboratory Medicine; Departments of Pediatrics, Pathology, Diagnostic Imaging, and Surgery, the University of Toronto Faculty of Medicine, Toronto, Canada Medical Imaging, the Hospital for Sick Children; Departments of Pediatrics, Pathology, Diagnostic Imaging, and Surgery, the University of TorontoFaculty of Medicine, Toronto, Canada
Robert Hamilton
Affiliation:
Divisions of Cardiology; Departments of Pediatrics, Pathology, Diagnostic Imaging, and Surgery, the University of TorontoFaculty of Medicine, Toronto, Canada
Shi-Joon Yoo
Affiliation:
Medical Imaging, the Hospital for Sick Children; Departments of Pediatrics, Pathology, Diagnostic Imaging, and Surgery, the University of TorontoFaculty of Medicine, Toronto, Canada
Haverj Mikailian
Affiliation:
Medical Imaging, the Hospital for Sick Children; Departments of Pediatrics, Pathology, Diagnostic Imaging, and Surgery, the University of TorontoFaculty of Medicine, Toronto, Canada
Lee Benson
Affiliation:
Divisions of Cardiology; Departments of Pediatrics, Pathology, Diagnostic Imaging, and Surgery, the University of TorontoFaculty of Medicine, Toronto, Canada
Brian McCrindle
Affiliation:
Divisions of Cardiology; Departments of Pediatrics, Pathology, Diagnostic Imaging, and Surgery, the University of TorontoFaculty of Medicine, Toronto, Canada
Henri Justino
Affiliation:
Divisions of Cardiology; Departments of Pediatrics, Pathology, Diagnostic Imaging, and Surgery, the University of TorontoFaculty of Medicine, Toronto, Canada
W.G. Williams
Affiliation:
Cardiovascular Surgery, Departments of Pediatrics, Pathology, Diagnostic Imaging, and Surgery, the University of Toronto Faculty of Medicine, Toronto, Canada
*
Robert M Freedom, MD, FRCPC, Division of Cardiology, Room 1503, 555 University Avenue, Toronto, Ontario, CanadaM5G 1X8, Tel: 416–8136132, Fax 416–8137547; E-mail: [email protected]

Abstract

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Type
Review
Copyright
Copyright © Cambridge University Press 2000

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References

1.Fontan, F and Baudet, E. Surgical repair of tricuspid atresia. Thorax 1971; 26: 240248CrossRefGoogle ScholarPubMed
2.Freedom, RM. The Fontan Operation: Indications, Outcome, and Survival Data. In, Atlas of Heart Diseases. Congenital Heart Disease. Series Editor, Braunwald, E. Volume Eds. RM Freedom. Mosby, Philadelphia, 1997; 17–1 to 17–10.Google Scholar
3.de Leval, MR, Kilne, P, Gewillig, M, Bull, C. Total cavopulmonary connection: a logical alternative to atriopulmonary connection for complex Fontan operations. J Thorac Cardiovasc Surg 1988; 96: 682695.CrossRefGoogle ScholarPubMed
4.Marcelletti, C, Corno, A, Giannico, S, Marino, B. Inferior vena cava–pulmonary artery extracardiac conduit. A new form of right heart bypass. J Thorac Cardiovasc Surg 1990; 100: 228232.CrossRefGoogle ScholarPubMed
5.Petrossian, E et al. Early results of the extracardiac fontan operation. J Thorac Cardiovasc Surg 1999; 117: 688696CrossRefGoogle Scholar
6.Giannico, S et al. Total extracardiac right heart bypass. Circulation 1992, 86(5 Suppl) pll 110–7Google ScholarPubMed
7.Amodeo, A; Galletti, L; Marianeschi, S; Picardo, S; Giannico, S; Di Renzi, P; Marcelletti, C. Extracardiac Fontan operation for complex cardiac anomalies: seven years experience. J Thorac Cardiovasc Surg 1997; 114: 1020–30CrossRefGoogle ScholarPubMed
8.Burke, RP; Jacobs, JP; Ashraf, MH; Aldousany, A; Chang, ACExtracardiac Fontan operation without cardiopulmonary bypass. Ann Thorac Surg 1997, 63: 1175–7CrossRefGoogle ScholarPubMed
9.Lardo, AC, Webber, SA, Frichs, I, del Nido, PJ, Cape, EG. Fluid dynamic comparison of intra-atrial and extracardiac total cavopulmonary connections. J Thorac Cardiovasc Surg 1999; 117:697704CrossRefGoogle ScholarPubMed
10.Mayer, JE, Bridges, ND, Lock, JE, Hanley, FL, Jonas, RA. Factors associated with marked reduction in mortality for Fontan operation in patients with singlr ventricle. J Thorac cardiovasc Surg 1992; 103:444452CrossRefGoogle ScholarPubMed
11.Laks, H et al. Partial Fontan: advantages of an adjustable interatrial communication. Ann Thorac Surg 1991; 52: 1084–94;CrossRefGoogle ScholarPubMed
12.Harake, B, Kuhn, MA, Jarmakani, JM, Laks, H, al-Khatib, Y, Elami, A, Williams, RG. Acute hemodynamic effects of adjustable atrial septal defect closure in the lateral tunnel Fontan procedure. J Am Coll Cardiol 1994, 23. 1671–6CrossRefGoogle ScholarPubMed
13.Laks, H. The partial Fontan procedure. A new concept and its clinical application. Circulation 1990, 82: 1866–7CrossRefGoogle ScholarPubMed
14.Jonas, RA. Indications and timing for the bidirectional Glenn shunt versus the fenestrated Fontan circulation. J Thorac Cardiovasc Surg 1994, 108: 522524CrossRefGoogle ScholarPubMed
15.Bridges, ND, Jonas, RA, Mayer, JE, Flanagan, MF, Keane, JF, Castaneda, AR. Bidirectional cavopulmonary anastomosis as interim palliation for high risk Fontan candidates. Circulation 1990;82(Suppl. IV): 170176Google ScholarPubMed
16.Bridges, ND, Lock, JE, Castaneda, AR. Baffle fenestration with subsequent transcatheter closure. Modification of the Fontan operation for patients at increased Circulation 1990, 82: 1681–9Google ScholarPubMed
17.Bridges, ND, Lock, JE, Mayer, JE Jr, Burnett, J, Castaneda, AR. Cardiac catheterization and test occlusion of the interatrial communication after the fenestrated Fontan operation. J Am Coll Cardiol 1995, 25: 1712–7CrossRefGoogle ScholarPubMed
18.Bridges, ND, Castaneda, AR. The fenestrated Fontan procedure. Herz 1992, 17: 242–5Google ScholarPubMed
19.Bridges, ND et al. , Effect of baffle fenestration on outcome of the modified Fontan operation. Circulation 1992, 86: 1762–9CrossRefGoogle ScholarPubMed
20.Jacobs, ML, Rychik, J, Rome, JJ, Apostolopoulou, S, Pizarro, C, Murphy, JD, Norwood, WI Jr. Early reduction of the volume work of the single ventricle: the hemi–Fontan operation. Ann Thorac Surg 1996, 62: 456–61CrossRefGoogle ScholarPubMed
21.Jacobs, ML, Norwood, WI Jr. Fontan operation: influence of modifications on morbidity and mortality. Ann Thorac Surg 1994, 58:945–51CrossRefGoogle ScholarPubMed
22.Norwood, WI and Jacobs, ML. Fonta's procedure in two stages. Am J Surg 1993, 166:548551CrossRefGoogle ScholarPubMed
23.Castaned, AR. From Glenn to Fontan. A continuing evolution. Circulation 1992, 86: II–8–4.Google Scholar
24.Tnedman, JK, Bridges, ND, Mayer, JE Jr, Lock, JE. Prevalence and risk factors for aortopulmonary collateral vessels after Fontan and bidirectional Glenn procedures. JACC 1993, 22: 207–15Google Scholar
25.Ichikawa, H et al. , Extent of aortopulmonary collateral blood flow as a risk factor for Fontan operations. Ann Thorac Surg 1995,59:433–7CrossRefGoogle ScholarPubMed
26.Magee, AG, McCrindle, BW, Mawson, J, Benson, LN, Williams, WG, Freedom, RM. Systemic venous collateral development after the bidirectional cavopulmonary anastomosis. Prevalence and predictors. J Am Coll Cardiol 1998, 32: 507–8CrossRefGoogle ScholarPubMed
27.Ovaert, C, Filippini, LHPM, Benson, LN, Freedom, RM. You didn't see them, but now you do!: use of balloon–occlusion angiography in the identification of systemic venous anomalies before and after cavopulmonary procedures. Cardiol Young 1999, 9: 357363CrossRefGoogle Scholar
28.Hayes, AM, Burrows, PE, Benson, LN. An unusual cause of cyanosis after the modified Fontan procedure-closure of venous communications between the coronary sinus and left atrium by transcatheter techniques. Cardiol Young 1994, 172174CrossRefGoogle Scholar
29.Rao, I, Intrahepatic steal after Fontan operation with partial hepatic resection. J Thorac Cardiovasc Surg 1995, 109: 180181.CrossRefGoogle Scholar
30.Filippini, LH, Ovaert, C, Nykanen, D, Freedom, RM. Reopening of persistent left superior caval vein after bidirectional cavopulmonary connections. Heart 1998, 79: 509–12CrossRefGoogle ScholarPubMed
31.Clapp, S, Morrow, WR. Development of superior vena cava to pulmonary vein fistulae following modified Fontan operation: case report of a rare anomaly and embolization therapy. Pediatr Cardiol 1998, 19: 363–5CrossRefGoogle ScholarPubMed
32.Hsu, H-s, Nykanen, DG, Williams, WG, Freedom, RM, Benson, LN. Right to left interatnal communications after the modified Fontan procedure: identification and management with transcatheter occlusion. Br Heart J 1995, 74: 548552CrossRefGoogle ScholarPubMed
33.Stumper, O, Wright, JGC, Sadiq, M, De Giovanni, JV. Late systemic desaturanon after total cavopulmonary shunt operations. Br Heart J 1995, 74: 282286CrossRefGoogle ScholarPubMed
34.Gatzoulis, MA, Shinebourne, EA, Redington, AN, Rigby, ML, Ho, SY, Shore, DF. Increasing cyanosis after cavopulmonary connection caused by abnormal systemic venous channels. Br Heart J 1995,73: 182186.CrossRefGoogle ScholarPubMed
35.Fontan, F, Kirklin, JW, Fernandez, G, Costa, F, Naftel, DC, Tritto, F, Blackstone, EH. Outcome after a “perfect” Fontan operation. Circulation 1990, 81: 15201536CrossRefGoogle ScholarPubMed
36.Knott–Craig, C, Danielson, GK, Schaff, HV, Puga, FJ, Weaver, AL, Driscoll, DD. The modifoed 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: 12371243Google ScholarPubMed
37.Gentles, TL et al. , Fontan operation in five hundred consecutive patients: factors influencing early and late outcome. J Thorac Cardiovasc Surg 1997, 114: 376–91CrossRefGoogle ScholarPubMed
38.Gentles, TL et al. , Functional outcome after the Fontan operation: factors influencing late morbidity. J Thorac Cardiovasc Surg 1997, 114: 392403CrossRefGoogle ScholarPubMed
39.de, Leval MR. The Fontan circulation: What have we learned? What to expect? Pediatr Cardiol 1998, 19: 316–20Google Scholar
40.Bonnet, D, Acar, P, Aggoun, Y, Bonhoeffer, P, Villain, E, Sidi, D, Kachaner, J. Les derivations cavo-pulmonaires partielles peuvent-elles etre une alternative a la circulation de type Fontan?. Arch Mai Coeur Vaiss 1998, 91: 569–73Google Scholar
41.Yeh, T Jr, et al. Equivalent survival following cavopulmonar shunt: with or without the Fontan procedure. Eur J Cardiothorac Surg 1999, 16: 111116CrossRefGoogle ScholarPubMed
42.Tarn, CKH, Lightfoot, NE, Finlay, CD, Coles, J, Williams, WG, Trusler, GA, Freedom, RM. Course of Tncuspid Atresia in the Fontan Era. Am J Cardiol 1989, 63: 589593.Google Scholar
43.Franklin, RCG, Spiegalhalter, DJ, Sullivan, ID, Anderson, RH, Thoele, DG, Shinebourne, EA, Deanfield, JE. Tricuspid atresia presenting in infancy. Survival and suitability for the Fontan operation. Circulation 1993, 87: 427439.CrossRefGoogle ScholarPubMed
44.Franklin, RC et al. , Double–inlet ventricle presenting in infancy. I. Survival without definitive repair. J Thorac Cardiovasc Surg 1991, 101:767–76.CrossRefGoogle ScholarPubMed
45.Franklin, RC, Spiegelhalter, DJ, Anderson, RH, Macartney, FJ, Rossi Filho, RI, Rigby, ML, Deanfield, JE II. Double–inlet ventricle presenting in infancy. Results of palliative operations. J Thorac Cardiovasc Surg 1991, 101: 917–23CrossRefGoogle ScholarPubMed
46.Franklin, RC, Spiegelhalter, DJ, Rossi Filho, RI, Macartney, FJ, Anderson, RH, Rigby, ML, Deanfield, JE. Double-inlet ventricle presenting in infancy. III. Outcome and potential for definitive repair. J Thorac Cardiovasc Surg 1991, 101: 924–34CrossRefGoogle ScholarPubMed
47.Hashmi, A, Abu-Sulaiman, R, McCrindle, BW, Smallhorn, JF, Williams, WG, Freedom, RM. Management and outcomes of right atrial isomerism: a 26-year experience. J Am Coll Cardiol 1998,31. 1120–6CrossRefGoogle ScholarPubMed
48.Freedom, RM, Hashmi, A. Total anomalous pulmonary venous connections and consideration of the Fontan or one-ventricle repair. Ann Thorac Surg 1998, 66: 681–2CrossRefGoogle ScholarPubMed
49.Sadiq, M, Stumper, O, De Giovanni, JV, Wright, JG, Sethia, B, Brawn, WJ, Silove, ED. Management and outcome of infants and children with right atrial isomerism. Heart 1996, 75: 314–9CrossRefGoogle ScholarPubMed
50.Gaynor, JW, Collins, MH, Rychik, J, Gaughan, JP, Spray, TL. Long-term outcome of infants with single ventricle and total anomalous pulmonary venous connection. J Thorac Cardiovasc Surg 1999, 117: 506–13, discussion 513–4CrossRefGoogle ScholarPubMed
51.Phoon, CK and Neill, CA. Asplenia syndrome-risk factors for early unfavorable outcome. Am J Cardiol 1994, 73: 12351237.CrossRefGoogle ScholarPubMed
52.Gilljam, T, McCrindle, BW, Smallhorn, JF, Williams, WG, Freedom, RM. Outcomes of left atrial isomerism over a 28-year period at a single institution. JACC, in press, 19992000Google Scholar
53.Bove, EL. Current status of staged reconstruction for hypoplastic left heart syndrome. Pediatr Cardiol 1998, 19: 308–15CrossRefGoogle ScholarPubMed
54.Razzouk, AJ et al. , Transplantation as a primary treatment for hypoplastic left heart syndrome: intermediate-term results. Ann Thorac Surg 1996, 62: 17CrossRefGoogle ScholarPubMed
55.Jacobs, ML, Blackstone, EH, Bailey, LL. Intermediate survival in neonates with aortic atresia: a multi-institutional study. The Congenital Heart Surgeons Society. J Thorac Cardiovasc Surg 1998, 116:417–31CrossRefGoogle Scholar
56.Smallhorn, JF. Unpublished data.Google Scholar
57.Freedom, RM. From Maude to Claude The musings of an insomniac in the era of evidence-based medicine. Cardiol Young 1998, 8: 622CrossRefGoogle ScholarPubMed
58.Bull, K. The Fontan procedure: lessons from the past. Heart 1998,79: 213214CrossRefGoogle ScholarPubMed
59.Lemmer, JH, Coran, AG, Behrendt, DM, Heidelberger, KP, Stern, AM. Liver fibrosis (cardiac cirrhosis) five years after modified Fontan operation for tricuspid atresia. J Thorac Cardiovasc Surg 1983, 86: 757760.CrossRefGoogle ScholarPubMed
60.Cromme-Dijkhuis, AH, Hess, J, Hahlen, K, Henkens, CM, Bink-Boelkens, MT, Eygelaar, AA, Bos, E. Specific sequelae after Fontan operation at mid- and long-term follow-up. Arrhythmia, liver dysfunction, and coagulation disorders. J Thorac Cardiovasc 1993, 106: 1126–32CrossRefGoogle ScholarPubMed
61.Kaulitz, R, Luhmer, I, Bergmann, F, Rodeck, B, Hausdorf, G. Sequelae after modified Fontan operation: postoperative haemodynamic data and organ function. Heart 1997, 78: 154–9CrossRefGoogle ScholarPubMed
62.Ilbawi, MN, Idriss, FS, Muster, AJ, De Leon, SY, Berry, TE, Duffy, CE, Paul, MH. Effects of elevated coronary sinus proessure onleft ventricular function after the Fontan operation. An experimental and clinical correlation. J Thorac Cardiovasc Surg 1986,92:231237CrossRefGoogle Scholar
63.Klautz, RJ, van Rijk-Zwikker, GL, Steendijk, PWilde, J, Teitel, DF, Baan, J. Acute elevation of coronary venous pressure does not affect left ventricular contractility in the normal and stressed swine heart: implications for the Fontan operation. J Thorac Cardiovasc Surg 1997:114: 560–7CrossRefGoogle Scholar
64.Lardo, AC, del Nido, PJ, Webber, SA, Friehs, I, Cape, EG. Hemodynamic effect of progressive right atrial dilatation in atnopulmonary connections J Thorac Cardiovasc Surg 1997, 114: 28CrossRefGoogle ScholarPubMed
65.Miura, T, Hiramatsu, T, Forbess, JM II, Mayer, JE JrEffects of elevated coronary sinus pressure on coronary blood flow and left ventricular function. Implications after the Fontan operation. Circulation 1995, 92(9 Suppl) p298303CrossRefGoogle ScholarPubMed
66.Cochrane, AD, Marath, A, Mee, RB. Can a dilated coronary sinus produce left ventricular inflow obstruction? An unrecognized entity. Ann Thorac Surg 1994, 58: 1114–6CrossRefGoogle ScholarPubMed
67.Agnoletti, G, Annecchino, F, Preda, L, Borghi, A. Persistence of the left superior caval vein: can it potentiate obstructive lesions of the left ventricle? Cardiol Young 1999, 9: 285290CrossRefGoogle Scholar
68.Sanchez-Quintana, D, Climent, V, Ho, SY, Anderson, RH. Myoarchitecture and connective tissue in hearts with tricuspid atresia. Heart 1999, 81 182191CrossRefGoogle ScholarPubMed
69.Akiba, T and Becker, AE. Disease of the left ventricle in pulmonary atresia with intact ventricular septum. The limiting factor for long-lasting successful surgical intervention. J Thorac Cardiovasc Surg 1994, 108: 18.CrossRefGoogle ScholarPubMed
70.Kirklin, JK, Blackstone, EH, Kirklin, JW, Pacifico, AD, Bargeron, LM. The Fontan operation. Ventricular hypertrophy, age, and date of operation as risk factors. J Thorac Cardiovasc Surg 1986,92: 1049–64.CrossRefGoogle ScholarPubMed
71.Malcic, I, Sauer, U, Stern, H, Kellerer, M, Kuhlein, B, Locher, D, Buhlmeyer, K, Sebening, F. The influence of pulmonary artery banding on outcome after the Fontan operation J Thorac Cardiovasc Surg 1992, 104: 743747.CrossRefGoogle ScholarPubMed
72.Freedom, RM, Akagi, T, Benson, LN. The Potentially Obstructive Subaortic Region and Pulmonary Artery Banding: Selected Observations in the Patient Considered for a Fontan Algorithm. Cardiol Young, 3: 9197, 1993.CrossRefGoogle Scholar
73.Akagi, T, Benson, LN, Williams, WG, Freedom, RM. The relation between ventricular hypertrophy and clinical outcome in patients with double inlet left ventricle after atrial to pulmonary anatomosis. Herz 1993, 17: 220227Google Scholar
74.Freedom, RM, Benson, LN, Smallhorn, JF, Williams, WG, Trusler, GA, Rowe, RD. Subaortic stenosis, the univentricular heart, and banding of the pulmonary artery: an analysis of the courses of 43 patients with univentricular heart palliated by pulmonary artery banding. Circulation 1986, 73: 758764.CrossRefGoogle ScholarPubMed
75.Freedom, RM. The Dinosaur and Banding of the Main Pulmonary Trunk in the Heart With Functionally One Ventricle and Transposition of the Great Arteries: A Saga of Evolution and Caution. JACC 1987, 10: 427429.Google ScholarPubMed
76.Caspi, J, Coles, JG, Rabinovitch, M, Cohen, D, Trusler, GA, Williams, WG, Wilson, GJ, Freedom, RM. Morphological Findings Contributing to a failed Fontan Procedure in the Current Era. Circulation 1990, 82(Supp IV-177-IV-182)Google Scholar
77.O'Leary, PW, Driscoll, DJ, Connor, AR, Puga, Fj, Danielson, GK. Subaortic obstruction in hearts with a univentricular connection to a dominant left ventricle and an anterior subaortic outlet chamber. Results of a staged approach. J Thorac Cardiovasc Surg 1992, 104: 12311237.CrossRefGoogle Scholar
78.Ilbawi, MN, De Leon, SY, Wilson, WR Jr, Quinones, JA, Roberson, DA, Husayni, TS, Thilenius, OG, Arcilla, RA. Advantages of early relief of subaortic stenosis in single ventricle equivalents. Ann Thorac Surg 1991, 52: 842–9.CrossRefGoogle ScholarPubMed
79.Lui, RC, Williams, WG, Trusler, GA, Freedom, RM, Coles, JG, Rebeyka, IM, Smallhorn, J. Experience with the Damus-Kaye-Stansel procedure for children with Taussig-Bing hearts or univentricular hearts with subaortic stenosis. Circulation 1993, 88:111–70–6.Google ScholarPubMed
80.Barber, G, Hagler, DJ, Edwards, WD, Puga, FJ, Danielson, GK, McGoon, DC, Driscoll, DJ. Surgical Repair of Univentricular Heart (Double Inlet Left Ventricle) With Obstructed Anterior Subaortic Outlet Chamber. JACC 1984, 4: 771777.CrossRefGoogle ScholarPubMed
81.Graham, TP Jr, Johns, JA. Pre-operative assessment of ventricular function in patients considered for Fontan procedure. Herz (Germany), 08 1992, 17(4) p213–9òÊGoogle ScholarPubMed
82.Akagi, T, Benson, LN, Williams, WG, Freedom, RM: Regional wall motion abnormalities in tricuspid atresia after the Fontan procedure. J Am Coll Cardiol 1993, 22: 1182–8.CrossRefGoogle ScholarPubMed
83.Akagi, T, Benson, LN, Green, M, Ash, J, Gilday, DL, Williams, WG, Freedom, RM: Ventricular performance pre and post Fontan repair for univentricular atrioventricular connection. An angiographic and radionuclide assessment. J Am Coll Cardiol 1993, 20: 920926CrossRefGoogle Scholar
84.Fogel, MA, Weinberg, PM, Chin, AJ, Fellows, KE, Hoffman, EA. Late ventricular geometry and performance changes of functional single ventricle throughout staged Fontan reconstruction assessed by magnetic resonance imaging. J Am Coll Cardiol 1996,28: 212–21CrossRefGoogle ScholarPubMed
85.Sluysmans, T et al. , Natural history and patterns of recovery of contractile function in single left ventricle after Fontan operation. Circulation 1992, 86: 17531761CrossRefGoogle ScholarPubMed
86.Kurotobi, S et al. Regional ventricular systolic abnormalities caused by a rudimentary chamber in patients with univentricular hearts. Am J Cardiol 1998, 82: 8692CrossRefGoogle ScholarPubMed
87.Freedom, RM, Rowe, RD. Morphological and topographical of the outlet chamber in complex congenital heart disease: An angiocardiographic study. Cath Cardiovasc Diag 1978, 4: 345371CrossRefGoogle ScholarPubMed
88.Fogel, MA, Weinberg, PM, Gupta, KB, Rychik, J, Hubbard, A, Hoffman, EA, Haselgrove, J. Mechanics of the single left ventricle. A study of ventricular-ventricular interaction II. Circulation 1998, 98: 330338CrossRefGoogle ScholarPubMed
89.Fogel, MA, Weinberg, PM, Fellows, KE, Hoffman, EA. A study in ventricular-ventricular interaction. Single right ventricles compared with systemic right ventricles in a dual-chamber circulation. Circulation 1995, 92. 219230CrossRefGoogle Scholar
90.Seliem, MA, Baffa, JM, Vetter, JM, Chen, S-L, Chin, AJ, Norwood, WI Jr. Changes in right ventricular geometry and heart rate early after the hemi-Fontan procedure. Ann Thorac Surg 1993, 55: 15081512CrossRefGoogle ScholarPubMed
91.Donofrio, MT, Jacobs, ML, Norwood, ML, Rychik, J. Early changes in ventricular septal defect size and ventricular geometry in the single left ventricle after volume-unloading surgery. J Am Coll Cardiol 1995, 26: 10081015.CrossRefGoogle ScholarPubMed
92.Van Son, JAM, Falk, V, Walther, T, Diegler, A, Schneider, P, Haas, GS, Mohr, FW.Instantaneous subaortic outflow obstruction after volume reduction in hearts with a univentricular atrioventricular connection and discordant ventriculoarterial connection. Mayo Clin Proc 1997, 72: 309314CrossRefGoogle ScholarPubMed
93.Penny, DJ, Lincoln, C, Shore, DF, Xiao, HB, Rigby, ML. The early response of the systemic ventricle during transition to the Fontan circulation-an acute hypertrophic cardiomyopathy? Cardiol Young 1992, 2: 7884CrossRefGoogle Scholar
94.Penny, DJ, Redington, AN. Angiographic demonstration of incoordinate motion of the ventricular wall after the Fontan operation. Br Heart J 1991, 66: 456–9CrossRefGoogle ScholarPubMed
95.Penny, DJ, Rigby, ML, Redington, AN. Abnormal patterns of intraventricular flow and diastolic filling after the Fontan operation: evidence for incoordinate ventricular wall motion. Br Heart J 1991,66: 375378CrossRefGoogle ScholarPubMed
96.Penny, DJ, Lincoln, C, Redington, AN. Abnormal systolic atrioventricular flow related to incoordinate motion of the ventricular wall after the Fontan operation. Int J Cardiol 1991, 32: 112115CrossRefGoogle ScholarPubMed
97.Penny, DJ, Redington, AN. Doppler echocardiographic evaluation of pulmonary blood flow after the Fontan operation: the role of the lungs. Br Heart J 1991, 66: 372374CrossRefGoogle ScholarPubMed
98.Freedom, RM, Mawson, JB, Yoo, S-J, Benson, LN. Congenital Heart Disease: Textbook of Angiocardiography. Futura Publishing Compamy, Armonk, New York, 1997, 12011260Google Scholar
99.Razzouk, AJ, Freedom, RM, Cohen, AJ, Williams, WG, Trusler, GA, Coles, JG, Burrows, PE, Rebeyka, IM. The recognition, identification of morphologic substrate, and treatment of subaornc stenosis after a Fontan operation. J Thorac Cardiovasc Surg 1992, 104: 938944.CrossRefGoogle ScholarPubMed
100.Zuberbuhler, JR and Anderson, RH. Morphological variations in pulmonary atresia with intact ventricular septum. Br Heart J 1979,41:281288.CrossRefGoogle ScholarPubMed
101.Freedom, RM, Mawson, JB, Yoo, S-J, Benson, LN. Congenital Heart Disease: Textbook of Angiocardiography. Futura Publishing Company, Armonk, New York, 1997, 617662Google Scholar
102.Finta, KM, Beekman, RH, Lupinetti, FM, Bove, EL. Systemic ventricular outflow obstruction progresses after the Fontan operation. Ann Thorac Surg 1994, 58: 11081112.CrossRefGoogle ScholarPubMed
103.Freedom, RM. Invited Commentary to Ref 103.Ann Thorac Surg 1994,58: 11121113.Google Scholar
104.Chin, AJ, Franklin, WH, Andrews, BAA, Norwood, WI JrChanges in ventricular geometry early after Fontan operation. Ann Thorac Surg 1993, 56: 13591365.CrossRefGoogle ScholarPubMed
105.Monagle, P, Cochrane, A, McCrindle, B, Benson, L, Williams, W, Andrew, M. Editorial: Thromboembolic complications after Fontan procedures-the role of prophylactic anticoagulation. J Thorac Cardiovasc Surg 1998, 115: 493498CrossRefGoogle ScholarPubMed
106.Shirai, LK, Rosenthal, DN, Reitz, BA, Robbins, RC, Dubin, AM. Arrhythmias and thromboembolic complications after the extracardiac Fontan operation. J Thorac Cardiovasc Surg 1998, 115:499505CrossRefGoogle ScholarPubMed
107.Rosenthal, DN, Bulbul, ZR, Friedman, AH, Hellenbrand, WE, Kleinman, CS. Thrombosis of the pulmonary stump after distal ligation. J Thorac Cardiovasc Surg 1995, 110: 15631565.CrossRefGoogle ScholarPubMed
108.Jahangiri, M, Ross, DB, Redington, AN, Lincoln, C, Shinebourne, EA. Thromboembolism after the Fontan procedure and its modifications. Ann Thorac Surg 1994, 58: 1409–13CrossRefGoogle ScholarPubMed
109.Day, RW, Boyer, RS, Tait, VF, Ruttenberg, HD. Factors associated with stroke following the Fontan procedure. Pediatr Cardiol 1995, 16: 270–5CrossRefGoogle ScholarPubMed
110.Rosenthal, DN, Friedman, AH, Kleinman, CS, Kopf, GS, Rosenfeld, LE, Hellenbrand, WE. Thromboembolic complications after Fontan operations. Circulation 1995, 92: 11287–93CrossRefGoogle ScholarPubMed
111.Wilson, DG, Wisheart, JD, Stuart, AG. Systemic thromboembolism leading to myocardial infarction and stroke after fenestrated total cavopulmonary connection. Br Heart J 1995, 73: 483–5CrossRefGoogle ScholarPubMed
112.Wilson, WR, Greer, GE, Tobias, JD. Cerebral venous thrombosis after the Fontan procedure. J Thorac Cardiovasc Surg 1998, 116:661–3CrossRefGoogle ScholarPubMed
113.Pozzi, M, Marullo, A, Booker, PD. Thromboembolism leading to myocardial ischaemia in a patient requiring a fenestrated Fontan operation. Ann Thorac Cardiovasc Surg 1998, 4: 217–9Google Scholar
114.Cromme-Dijkhuis, AH, Henkens, CM, Bijleveld, CM, Hillege, HL, Bom, VJ, van der Meer, J. Coagulation factor abnormalities as possible thrombotic risk factors after Fontan operations. Lancet 1990, 336: 1087–90CrossRefGoogle ScholarPubMed
115.Franklin, WH and Norwood, WI. Management of complications related to the Fontan procedure. In, Complications in Cardiothoracic Surgery. Ed. Waldhausen, JA and Orringer, MB. Mosby Year Book, St. Louis, 1991, 202211.Google Scholar
116.Dobell, AR, Trusler, GA, Smallhorn, JF, Williams, WG. Atrial thrombi after the Fontan operation. Ann Thorac Surg 1986, 42: 664–7.CrossRefGoogle ScholarPubMed
117.Mahony, L, Nikaidoh, H, Fixler, DE. Thrombolytic treatment with streptokinase for late intraatrial thrombosis after modified Fontan procedure. Am J Cardiol 1988, 62: 343–4.CrossRefGoogle ScholarPubMed
118.Fyfe, DA, Kline, CH, Sade, RM, Gillette, PC. Transesophageal echocardiography detects thrombus formation not identified by transthoracic echocardiography after the Fontan operation J Am Coll Cardiol 1991, 18: 1733–7CrossRefGoogle Scholar
119.Fletcher, SE, Case, CL, Fyfe, DA,, Gillette, PC. Clinical spectrum of venous thrombi in the Fontan patient Am J Cardiol 1991, 68: 1721–2.CrossRefGoogle ScholarPubMed
120.Downing, TP, Danielson, GK, Ritter, DG, Julsrud, PR, Seward, JB. Pulmonary artery thrombosis associated with anomalous pulmonary venous connection: an unusual complication following the modified Fontan procedure. J Thorac Cardiovasc Surg 1985,90:441–3.CrossRefGoogle ScholarPubMed
121.Putnam, JB Jr, Lemmer, JH Jr, Rocchini, AP, Bove, EL. Embolectomy for acute pulmonary artery occlusion following Fontan procedure Ann Thorac Surg 1988, 45: 335–6.CrossRefGoogle ScholarPubMed
122.Hedrick, M, Elkins, RC, Knott-Craig, CJ, Razook, JD. Successful thrombectomy for thrombosis of the right side of the heart after the Fontan operation. Report of two cases and review of the literature. J Thorac Cardiovasc Surg 1993, 105. 297301.CrossRefGoogle ScholarPubMed
123.Shannon, FL, Campbell, DN, Clarke, DR. Right atrial thrombosis: rare complication of the modified Fontan procedure. Pediatr Cardiol 1986, 7: 209–12.CrossRefGoogle ScholarPubMed
124.Okita, Y, Miki, S, Kusuhara, K, Ueda, YTahata, T, Komeda, M, Tamura, T. Massive systemic venous thrombosis after Fontan operation: report of a case. Thorac Cardiovasc Surg 1988, 36: 234–6CrossRefGoogle ScholarPubMed
125.Jonas, RA. Intracardiac thrombus after the Fontan procedure. J Thorac Cardiovasc Surg 1995, 110: 15021503.CrossRefGoogle ScholarPubMed
126.Srivastava, D, Preminger, TJ, Lock, JE, Mandell, V, Keane, JF, Mayer, JE Jr, Kozakewich, H, Spevak, PJ. Hepatic venous blood and the development of pulmonary arteriovenous malformations in congenital heart disease Circulation 1995,92 12171222.CrossRefGoogle ScholarPubMed
127.Marshall, B, Duncan, BW, Jonas, RA. The role of angiogenesis in the development of pulmonary arteriovenous malformations in children after cavopulmonary anastomosis. Cardiol Young 1997, 7 370374CrossRefGoogle Scholar
128.Knight, WB and Mee, RBB. A cure for pulmonary arteriovenous fistulas. Ann Thorac Surg 1995, 59: 9991001.CrossRefGoogle ScholarPubMed
129.Shah, MJ, Rychik, J, Fogel, MA, Murphy, JD, Jacobs, ML. Pulmonary AV malformations after superior cavopulmonary connection: resolution after inclusion of hepaticv veins in the pulmonary circulation. Ann Thorac Surg 1997, 63: 960963CrossRefGoogle ScholarPubMed
130.Kawashima, Y, Matsuki, O, Yagihara, T, Matsuda, H. Total cavopulmonary shunt operation. Semin Thorac Cardiovasc Surg 1994, 6. 1720Google ScholarPubMed
131.Lee, J, Menkis, AH, Rosenberg, HC. Reversal of pulmonary arteriovenous malformation after diversion of anomalous hepatic drainage. Ann Thorac Surg 1998, 65: 848–9CrossRefGoogle ScholarPubMed
132.Chang, R-K R, Alejos, JC, Atkinson, D, Jensen, R, Drant, S, Galindo, A, Laks, H. Bubble contrast echocardiography in detecting pulmonary arteriovenous shunting in children with univentricular heart after cavopulmonary anastomosis. J Am Coll Cardiol 1999, 33: 20522058CrossRefGoogle ScholarPubMed
133.Puga, FJ. Pulmonary arteriovenous malformations after modified Fontan operation. J Thorac Cardiovasc Surg 1989, 98: 11441145.CrossRefGoogle ScholarPubMed
134.Duncan, BW, Kneebone, JM, Chi, EY, Hraska, V, Isik, FF, Rosenthal, GL, Jones, TK, Starnes, SL, Lupinetti, FM. A detailed histologic analysis of pulmonary arteriovenous malformations in children with cyanotic congenital heart disease. J Thorac Cardiovasc Surg 1999, 117: 931–8CrossRefGoogle ScholarPubMed
135.Moore, JW, Kirby, WC, Madden, WA, Gaither, NS. Development of pulmonary arteriovenous malformations after modified Fontan operations. J Thorac Cardiovasc Surg 1989, 98: 1045–50.CrossRefGoogle ScholarPubMed
136.Hansoti, RC, Shah, NJ. Cirrhosis of liver simulating congenital cyanotic heart disease. Circulation 1966, 33. 7177.CrossRefGoogle ScholarPubMed
137.Hansoti, RC, Sharma, S. Cirrhosis of the liver simulating congenital cyanotic heart disease. Chest 1989, 96: 843848.CrossRefGoogle ScholarPubMed
138.Kalra, S, Pandit, A, Taylor, PM, Prescott, MC, Woodcock, AA. Concealed intrapulmonary shunting in liver disease. Respir Med 1994, 88: 545–7CrossRefGoogle ScholarPubMed
139.Laberge, J-M, Brandt, ML, Lebecque, P, Moulin, D, Veykemans, F, Paradis, K, Pelletier, L et al. Reversal of cirrhosis-related pulmonary shunting in two children by orthotopic liver transplantation. Transplantation 1992, 53: 11351138.Google ScholarPubMed
140.Fewtrell, MS, Noble-Jamieson, G, Revell, S, Valente, J, Friend, P, Johnston, P, Rasmussen, A, Jamieson, N, Calne, RY, Barnes, ND. Intrapulmonary shunting in the biliary atresia/polysplenia syndrome: reversal after liver transplantation Arch Dis Child 1994,70: 501–4.Google ScholarPubMed
141.Kawashima, Y, Kitamura, S, Matsuda, H, Shimazaki, Y, Nakano, S, Hirose, H. Total cavopulmonary shunt operation in complex cardiac anomalies. A new operation. J Thorac Cardiovasc Surg 1984, 87: 7481.CrossRefGoogle ScholarPubMed
142.Glenn, WWL. Circulatory bypass of the right side of the heart. IV Shunt between superior vena cava and distal right pulmonary artery-report of clinical application. N Eng J Med 1958, 259: 117120.CrossRefGoogle ScholarPubMed
143.Glenn, WWL. Superior vena cava-pulmonary artery shunt. Ann Thorac Surg 1989, 47: 6264.CrossRefGoogle ScholarPubMed
144.Glenn, WWL, Ordway, NK, Talner, NS,Call, EP. Circulatory bypass of the right side of the heart. Circulation 1965, 31, 172189.CrossRefGoogle ScholarPubMed
145.Glenn, WWL.Superior vena cava-pulmonary artery anastomosis. Ann Thorac Surg 1984, 37: 911.CrossRefGoogle ScholarPubMed
146.McFaul, RC, Tajik, AJ, Mair, DD, Danielson, GK, Seward, JB. Development of pulmonary arteriovenous shunt after superior vena cava-right pulmonary artery (Glenn) anastomosis. Circulation 1977, 55: 212216CrossRefGoogle ScholarPubMed
147.Trusler, GA, Williams, WG, Cohen, AJ, Rabinovitch, M, Moes, CAF, Smallhorn, JF, Coles, JG, Lightfoot, NE, Freedom, RM. William Glenn Lecture: The Cavopulmonary Shunt. Evolution of a Concept. circulation 1990, 82. IV: 131138.Google Scholar
148.Cloutier, A, Ash, JM, Smallhorn, JF, Williams, WG, Trusler, GA, Rowe, RD, Rabinovitch, M. Abnormal distribution of pulmonary blood flow after the Glenn shunt or Fontan procedure: risk of development of arteriovenous fistulae. Circulation 1985, 72: 471479.CrossRefGoogle ScholarPubMed
149.Kopf, GS, Laks, H, Stansel, HC, Hellenbrand, WE, Kleinman, CS, Talner, NThirty-year follow-up of superior vena cavapulmonary artery (Glenn) shunts. J Thorac Cardiovasc Surg 1990, 100: 662671CrossRefGoogle ScholarPubMed
150.DiCarlo, D, Williams, WG, Freedom, RM, Trusler, GA.The role of cava-pulmonary (Glenn) anastomosis in the palliative treatment of congenital heart disease. J Thorac Cardiovasc Surg 1982, 83: 437441.Google Scholar
151.Bargeron, LM Jr, Karp, RB, Barcia, A, Kirklin, JW, Hunt, D, Deverall, PB. Late deterioration of patients after superior vena cava to right pulmonary artery anastomosis. Am J Cardiol 1972, 30: 211216.CrossRefGoogle ScholarPubMed
152.Boruchow, IB, Swenson, EW, Elliott, LP, Bartley, TD, Wheat, MW Jr, Schiebler, GL. Study of the mechanisms of shunt failure after superior vena cava-right pulmonary artery anastomosis. J Thorac Cardiovasc Surg 1970, 60: 531539.CrossRefGoogle ScholarPubMed
153.Laks, H, Ardehali, A, Grant, PW, Permut, L, Aharon, A, Kuhn, M, Isabel-Jones, J, Galindo, A. Modification of the Fontan procedure. Superior vena cava to left pulmonary artery connection and inferior vena cava to right pulmonary artery connection with adjustable atrial septal defect. Circulation 1995, 91: 2943–7.CrossRefGoogle ScholarPubMed
154.Kawashima, Y. Cavopulmonary shunt and pulmonary arteriovenous malformations [editorial, comment] Ann Thorac Surg 1997: 63, 930–2Google ScholarPubMed
155.Graham, K, Sondheimer, H, Schaffer, M. Resolution of cavopulmonary shunt-associated pulmonary arteriovenous malformation after heart transplantation. J Heart Lung Transplant 1997, 16: 1271–4Google ScholarPubMed
156.Mott, AR, Spray, TL, Bridges, ND. Heart/single-lung transplant for a “failed Fontan” with pulmonary A-V malformation. Ann Thorac Surg 1999, 67: 841–3CrossRefGoogle ScholarPubMed
157.Paulista, PP, Santana, MV, Henriques Neto, AT, Fontes, VF. New approach in partial cavopulmonary connection. Cardiol Young 1998, 8: 364369CrossRefGoogle ScholarPubMed
158.Papagiannis, J, Kanter, RJ, Effman, EL, Pratt, PC, Marcille, R, Browning, IB, Armstrong, BEPolysplenia with pulmonary arteriovenous malformations. Pediatr Cardiol 1993, 14: 127129CrossRefGoogle ScholarPubMed
159.Marianeschi, SM, McElhinney, DB, Reddy, VM. Pulmonary arteriovenous malformations in and out of the setting of congenital heart disease. Ann Thorac Surg 1998, 66: 688691CrossRefGoogle ScholarPubMed
160.Kawata, H, Kishimoto, H, Ikawa, S, Ueno, T, Nakajima, T, Kayatani, F, Inamura, N, Nakada, T. Pulmonary and systemic arteriovenous fistulas in patients with left isomerism. cardiol Young 1998, 8 290–4CrossRefGoogle ScholarPubMed
161.Amodeo, A, Marino, B. Pulmonary arteriovenous fistulas in patients with left isomerism and cardiac malformations. Cardiol Young 1998, 8: 283–4CrossRefGoogle ScholarPubMed
162.Kreutzer, J, Keane, JF, Lock, JE, Walsh, EP, Jonas, RA, Castaneda, AR, Mayer, JE Jr. Conversion of modified Fontan procedure to lateral atrial tunnel cavopulmonary anastomosis. J Thorac Cardiovasc Surg 1996, 111: 1169–76CrossRefGoogle ScholarPubMed
163.McElhinney, DB, Reddy, VM, Moore, P, Hanley, FL. Revision of previous Fontan connections to extracardiac or intraatrial conduit cavopulmonary anastomosis. Ann Thorac Surg 1996, 62 12761282CrossRefGoogle ScholarPubMed
164.Van Jon, JAM, Mohr, FW, Hambsch, J, Schneider, P, Hess, H, Haas, GS. Conversion of atriopulmonary or lateral atrial tunnel cavopulmonary anastomosis to extracardiac conduit Fontan modification. Eur J Cardio-thorac Surg 1999, 15: 150158Google Scholar
165.Kao, JM, Alejos, JC, Grant, PW, Williams, RG, Shannon, KM, Laks, H. Conversion of atriopulmonary to cavopulmonary anastomosis in management of late arrhythmias and atrial thrombosis. Ann Thorac Surg 1994, 58. 1510–4.CrossRefGoogle ScholarPubMed
166.Mavroudis, C, Backer, CL, Deal, BJ, Johnsrude, CL. Fontan conversion to cavopulmonary connection and arrhythmia circuit cryoablation. J Thorac Cardiovasc Surg 1998, 115: 547556CrossRefGoogle Scholar
167.Fogel, MA, Chin, AJ. Imaging of pulmonary venous pathway obstruction in patients after the modified Fontan procedure. J Am Coll Cardiol 1992, 20: 181–90CrossRefGoogle ScholarPubMed
168.Elzenga, NJ, Beaufort-Krol, GC, Ebels, T. Obstruction of the right pulmonary veins after the modified Fontan operation. J Thorac Cardiovasc Surg 1997: 113, 219CrossRefGoogle ScholarPubMed
169.Kawahira, Y, Kadoba, K, Matsuda, H. Compression of the pulmonary veins by the descending aorta in patients corrected surgically by the Fontan procedure. Cardiol Young 1998, 8: 86–9CrossRefGoogle ScholarPubMed
170.Berman, W Jr, Fripp, RR, Yabek, SMLate-onset pulmonary venous pathway obstruction after Fontan operation: presentation masquerading as intra-atrial baffle leakage. Pediatr Cardiol 1997, 18: 4951CrossRefGoogle ScholarPubMed
171.McElhinney, DB, Reddy, VM, Hanley, FL, Moore, P. Systemic venous collateral channels causing desaturation after bidirectional cavopulmonary anastomosis: evaluation and management. J Am Coll Cardiol 1997: 30, 817–24CrossRefGoogle ScholarPubMed
172.Reed, MK, Leonard, SR, Zellers, TM, Nikaidoh, H. Major intrahepatic venovenous fistulas aftera modified Fontan operation. Ann Thorac Surg 1996, 61: 713715.CrossRefGoogle Scholar
173.Jolly, N, Kumar, P, Arora, R. Persistence of hepatic venous plexus as the terminal part of inferior caval vein. Int J Cardiol 1991, 31: 110111.CrossRefGoogle ScholarPubMed
174.Freedom, RM, Mawson, JB, Yoo, S-J, Benson, LN. Congenital Heart Disease: Textbook of Angiocardiography. Futura Publishing Company, Armonk, New York, 1997, 431492Google Scholar
175.Gladman, G, Adatia, I, Freedom, RM. Persistence of the hepatic venous plexus with underdevelopment of the inferior caval vein-implications in the management of complex congenital heart disease. Cardiol Young 1998, 8: 243246CrossRefGoogle Scholar
176.Schneider, DJ, Banerjee, A, Mendelsohn, AM, Norwood, WI JrHepatic venous malformation after modified Fontan procedure with partial hepatic vein exclusion. Ann Thorac Surg 1997, 63: 1177–9CrossRefGoogle ScholarPubMed
177.Fernandez-Martorell, P, Sklansky, MS, Lucas, VW, Kashani, IA, Cocalis, MW, Jamieson, SW, Rothman, A. Accessory hepatic vein to pulmonary venous atrium as a cause of cyanosis after the Fontan operation. Am J Cardiol 1996, 77: 1386–7CrossRefGoogle ScholarPubMed
178.Waterbolk, T, Talsma, MD, Loef, BG, Sloof, MJH, Ebels, T.Increasing cyanosis after total cavopulmonary connection treated by banding a separate liver vein. Ann Thorac Surg 1995, 59: 12261228CrossRefGoogle ScholarPubMed
179.Rao, IM, Swanson, JS, Hovaguimian, H, Mclrvin, DM, King, DH, Furnary, AP, Livermore, J, Starr, A. Intrahepatic steal after Fontan operation with partial hepatic exclusion. J Thorac Cardiovasc Surg 1995, 109: 180–1CrossRefGoogle ScholarPubMed
180.Tofeig, M, Walsh, KP, Arnold, R.Transcatheter occlusion of a post-Fontan residual hepatic vein to pulmonary venous atrium communication using the Amplatzer septal occluder. Heart 1998, 79: 624626CrossRefGoogle ScholarPubMed
181.Yoshimura, N, Yamaguchi, M, Oshima, Y, Tei, T, Ogawa, K. Intrahepatic venovenous shunting to an accessory hepaticvein after Fontan type operation. Ann Thorac Surg 1999, 6: 1494–6CrossRefGoogle Scholar
182.Buheitel, G, Hofbeck, M, Tenbrink, U, Leipold, G, vd Emde, J, Singer, H. Possible sources of right-to-left shunting in patients following a total cavopulmonary connection. Cardiol Young 1998, 8: 358–63CrossRefGoogle ScholarPubMed
183.Du Plessis, AJ, Chang, AC, Wessel, DL, Lock, JE, Wernovsky, G, Newburger, JW, Mayer, JE JrCerebrovascular accidents following the Fontan operation. Pediatr Neurol 1995, 12: 230236CrossRefGoogle ScholarPubMed
184.Cohen, MI, Wernovsky, G, Vetter V, LWieand, TS, Gaynor, JW, Jacobs, ML, Spray, TL, Rhodes, LASinus node function after a systematically staged Fontan procedure. Circulation 1998, 98, 11352–8Google ScholarPubMed
185.Balaji, S, Gewillig, M, Bull, C, de Leval, MR,Deanfield, JEArrhythmias after the Fontan procedure. Comparison of total cavopulmonary connection and atriopulmonary connection. Circulation 1991, 84: 111–162–7Google ScholarPubMed
186.Weber, HS, Hellenbrand, WE, Kleinman, CS, Perlmutter, RA, Rosenfeld, LE. Predictors of rhythm disturbances and subsequent morbidity after the Fontan operation. Am J Cardiol 1989, 64. 7627CrossRefGoogle ScholarPubMed
187.Gewillig, M, Wyse, RK, de Leval, MR, Deanfield, JE. Early and late arrhythmias after the Fontan operation: predisposing factors and clinical consequences. Br Heart J 1992, 67: 72–9.CrossRefGoogle ScholarPubMed
188.Kurer, CC, Tanner, CS, Vetter V, L. Electrophysiologic findings after Fontan repair of functional single ventricle. J Am Coll Cardiol 1991, 17. 174–81.CrossRefGoogle ScholarPubMed
189.Gelatt, M, Hamilton, RM, McCrindle, BW, Gow, RM, Williams, WG, Trusler, GA, Freedom, RM. Risk factors for atrial tachyarrhythmias after the Fontan operation. J Am Coll Cardiol 1994, 24: 1735–41.CrossRefGoogle ScholarPubMed
190.Cecchin, F, Johnsrude, CL, Perry, JC, Friedman, RA. Effect of age and surgical technique on symptomatic arrhythmias after the Fontan procedure. Am J Cardiol 1995, 76: 86391CrossRefGoogle ScholarPubMed
191.Durongpisitkul, K, Porter, CJ, Cetta, F, Offord, KP, Slezak, JM, Puga, FJ, Schaff, HV, Danielson, GK, Driscoll, DJ. Predictors of early– and late–onset supraventricular tachyarrhythmias after Fontan operation. Circulation 1998, 98: 1099–107CrossRefGoogle ScholarPubMed
192.Paul, T, Ziemer, G, Luhmer, L, Bertram, H, Hecker, H, Kallfelz, HC. Early and late atrial dysrhythmias after modified Fontan operation. Pediatr Med Chir 1998, 20: 911Google ScholarPubMed
193.Kavey, RE, Gaum, WE, Byrum, CJ, Smith, FC, Kveselis, DALoss of sinus rhythm after total cavopulmonary connection. Circulation 1995, 92: 11304–8CrossRefGoogle ScholarPubMed
194.Porter, CJ, Garson, AIncidence and management of dysrhythmias after Fontan procedure. Herz 1993, 18: 318–27Google ScholarPubMed
195.Fishberger, SB, Wernovsky, G, Gentles, TL, Gauvreau, K, Burnett, J, Mayer, JE Jr, Walsh, EP. Factors that influence the development of atrial flutter after the Fontan operation. J Thorac Cardiovasc Surg 1997, 113: 80–6CrossRefGoogle ScholarPubMed
196.Nomura, F, Finucane, K, Smith, W, Kerr, AR. The Failing Fontan with atrial flutter: a successful surgical option. Ann Thorac Surg 1999, 68: 1845–8CrossRefGoogle ScholarPubMed
197.Gandhi, SK, Bromberg, BI, Rodefeld, MD, Schuessler, RB, Boineau, JP, Cox, JL, Huddleston, CB. Lateral tunnel suture line variation reduces atrial flutter after the modified Fontan operation. Ann Thorac Surg 1996: 61, 12991305CrossRefGoogle ScholarPubMed
198.Kurer, CC, Tanner, CS, Norwood, WI, Vetter V, L. Perioperative arrhythmias after Fontan repair. Circulation 1990. 82, IV190–4Google ScholarPubMed
199.Peters, NS, Somerville, J. Arrhythmias after the Fontan procedure. Br Heart J 1992, 68: 199204CrossRefGoogle ScholarPubMed
200.Razzouk, AJ, Gow, R, Finley, J, Murphy, D, Williams, WG. Surgically created Wolff–Parkinson–White syndrome after Fontan operation. Ann Thorac Surg 1992, 54: 974–7CrossRefGoogle ScholarPubMed
201.Troutman, WB, Barstow, TJ, Galindo, AJ, Cooper, DM. Abnormal dynamic cardiorespiratory responses to exercise in pediatric patients after Fontan procedure. J Am Coll Cardiol 1998, 31: 668673CrossRefGoogle ScholarPubMed
202.Seear, M, Hui, H, Magee, F, Bohn, D, Cutz, E. Bronchial casts in children: a proposed classification based on nine cases and a review of the literature Am J Respir Crit Care Med 1997, 155: 364–70CrossRefGoogle Scholar
203.Collondi, V, Roggini, M, Formigari, R, Ventriglia, F, Giglioni, E. Plastic bronchitis as a rare complication of Fontan's operation. Pediatr Cardiol 1990, 11: 228.CrossRefGoogle Scholar
204.Jett, JR, Tazelaar, HD, Keim, LW, Ingrassia, TS3d. Plastic bronchitis: an old disease revisited. Mayo Clin Proc 1991, 66: 305–11CrossRefGoogle Scholar
205.Feldt, RH, Driscoll, DJ, Offord, KP, Cha, RH, Perrault, J, Schaff, HV, Puga, FJ, Danielson, GK. Protein-losing enteropathy after the Fontan operation. J Thorac Cardiovasc Surg 1996, 112. 672–80CrossRefGoogle ScholarPubMed
206.Davis, CA, Driscoll, DJ, Perrault, J, Greenwood, DH, Schaff, HV, Puga, FJ, Danielson, GK, Feldt, RH. Enteric protein loss after the Fontan operation. Mayo Clin Proc 1994, 69: 12–4.CrossRefGoogle ScholarPubMed
207.Rychik, J, Piccoli, DA, Barber, G. Usefulness of corticosteroid therapy for protein-losing enteropathy after the Fontan procedure. Am J Cardiol 1991, 68: 819–21.CrossRefGoogle ScholarPubMed
208.Rothman, A, Snyder, J. Protein-losing enteropathy following the Fontan operation: resolution with prednisone therapy. Am Heart J 1991, 121: 618–9.CrossRefGoogle ScholarPubMed
209.Warnes, CA, Feldt, RH, Hagler, DJ. Protein-losing enteropathy after the Fontan operation: successful treatment by percutaneous fenestration of the atrial septum. Mayo Clin Proc 1996, 71: 378–9CrossRefGoogle ScholarPubMed
210.Jacobs, ML, Rychik, J, Byrum, CJ, Norwood, WI JrProteinlosing enteropathy after Fontan operation: resolution after baffle fenestration. Ann Thorac Surg 1996, 61: 206–8CrossRefGoogle ScholarPubMed
211.Mertens, L, Hagler, DJ, Sauer, U, Somerville, J, Gewillig, M. Protein-losing enteropathy after the Fontan operation, an international multicenter study. PLE study group. J Thorac Cardiovasc Surg 1998, 115: 1063–73CrossRefGoogle ScholarPubMed
212.Thorne, SA, Hooper, J, Kemp, M, Somerville, J. Gastrointestinal protein loss in late survivors of Fontan surgery and other congenital heart disease. Eur Heart J 1998, 19: 514–20CrossRefGoogle ScholarPubMed
213.Lemes, V, Murphy, AM, Osterman, FA, Laschinger, JC, Kan, JS. Fenestration of extracardiac Fontan and reversal of proteinlosing enteropathy: case report. Pediatr Cardiol 1998, 19: 355–7CrossRefGoogle ScholarPubMed
214.Kelly, AM, Feldt, RH, Driscoll, DJ, Danielson, GK. Use of heparin in the treatment of protein-losing enteropathy after fontan operation for complex congenital heart disease. Mayo Clin Proc 1998, 73. 777–9CrossRefGoogle ScholarPubMed
215.Donnelly, JP, Rosenthal, A, Castle, VP, Holmes, RD. Reversal of protein-losing enteropathy with heparin therapy in three patients with univentricular hearts and Fontan palliation. J Pediatr 1997, 130: 474–8CrossRefGoogle ScholarPubMed
216.Uzark, K, Lincoln, A, Lamberti, JJ, Mainwaring, RD, Spicer, RL, Moore, JW. Neurodevelopmental outcomes in children with Fontan repair of functional single ventricle. Pediatrics 1998, 101: 630–3CrossRefGoogle ScholarPubMed
217.Rogers, BT, Msall, ME, Buck, GM, Lyon, NR, Norris, MK, Roland, JM, Gingell, RL, Cleveland, DC, Pieroni, DR. Neurodevelopmental outcome of infants with hypoplastic left heart syndrome. J Pediatr 1995, 126: 496–8CrossRefGoogle ScholarPubMed
218.Glauser, TA, Rorke, LB, Weinberg, PM, Clancy, RR. Congenital brain anomalies associated with the hypoplastic left heart syndrome. Pediatrics 1990, 85: 984990.CrossRefGoogle ScholarPubMed
219.Glauser, TA, Rorke, LB, Weinberg, PM, Clancy, RR. Acquired neuropathologic lesions associated with the hypoplastic left heart syndrome. Pediatrics 1990, 85: 9911000.CrossRefGoogle ScholarPubMed
220.Kern, JH, Hinton, VJ, Nereo, NE, Hayes, CJ, Gersony, WM. Early developmental outcome after the Norwood procedure for hypoplastic left heart syndrome. Pediatrics 1998, 102: 1148–52CrossRefGoogle ScholarPubMed
221.DeLeon, SYKoopot, R, Mair, DD, Idriss, FS, Ilbawi, MN, Muster, AJ, Paul, MH. Surgical management of occluded conduits after the Fontan operation in patients with Glenn shunts. J Thorac cardiovasc Surg 1984, 88: 601605CrossRefGoogle ScholarPubMed
222.Fernandez, G, Costa, F, Fontan, F, Naftel, DC, Blackstone, EH, Kirklin, JW. Prevalence of reoperation for pathway obstruction after Fontan operation. Ann Thorac Surg 1989, 48: 654–9.CrossRefGoogle ScholarPubMed
223.Lardo, AC, Webber, SA, Iyenger, A, del Nido, PJ, Friechs, I, Cape, EG. Bidirectional cavopulmonary anastomosis improves mechanical efficiency in dilated atriopulmonary connections. J Thorac Cardiovasc Surg 1999, 118: 681691CrossRefGoogle ScholarPubMed