This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Jeong Ryul Lee Woong-Han Kim Yong Jin Kim Joon Ryang Rho Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Lee, J. R. Articles by Rho, J. R. Search for Related Content PubMed PubMed Citation Articles by Lee, J. R. Articles by Rho, J. R. Related Collections Congenital - cyanotic

Comparison of lateral tunnel and extracardiac conduit Fontan procedure

^a Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul National University Clinical Research Institute, 28 Yongon-dong, Jongro-gu, Seoul 110-744, South Korea
^b Seoul National University Hospital, Medical Research Institute Xenotransplantation Research Center, South Korea

*Corresponding author. Tel.: +82-02-2072-2877; fax: +82-02-764-3664.

E-mail address: jrl{at}plaza.snu.ac.kr (J.R. Lee)

The purpose of this study was to compare the outcomes of lateral tunnel (LT) and extracardiac conduit (ECC) Fontan procedures at a single institution. From April 1995 to December 2006, 165 Fontan procedures were performed (67 LT, 98 ECC). Pre-, intra- and postoperative variable values were compared between two different techniques. Operative mortality was 5 (3 LT, 2 ECC). Immediate postoperative transpulmonary gradient (LT 8.5±ECC 2.5 vs. 6.6±2.4 mmHg) and central venous pressure (LT 18.3±3.8 vs. ECC 15.6±2.4 mmHg) showed significant difference (P<0.001). The LT patients had a higher incidence of sinus node dysfunction in the postoperative period (22.4% vs. ECC 11.2%; P=0.05). Mean follow-up was 74.1±31.5 months in LT, and 31.7±28.1 months in ECC patients. There was one late death. Actuarial survival at 10 years is 92% for LT, and 89% for ECC patients (P=0.796). The LT and ECC, both, showed comparable early and mid-term outcomes in operative morbidity and mortality, postoperative hemodynamics, survival. Use of ECC for modified Fontan operation reduces the risk of sinus node dysfunction and shows better outcome of immediate postoperative hemodynamics.

Key Words: Congenital heart disease; Single ventricle; Fontan procedure