Early result of patients undergoing transcatheter completion of Fontan and Fenestrated extracardiac Fontan

• Main Authors: Mashail Alobaidan, Jassim Abdulhameed, atif Alsahari
• Format: Article
• Language: English
• Published: SpringerOpen 2014-03-01
• Series: The Egyptian Heart Journal
• Online Access: http://www.sciencedirect.com/science/article/pii/S1110260813001464

Fontan surgery and its modifications are well-recognized palliation for univentricular types of heart lesions. Nowadays palliation can be achieved by combined surgical and transcatheter approaches, which offer good immediate and early results for the high-risk patients. Method: Between September 2006 through January 2012, 18 patients underwent transcatheter completion of Fontan (gp 1), 28 patients underwent surgical fenestrated extracardiac Fontan (gp 2). GP 1: patients were ventelated and angiogram and hemodynamic assessment followed by opening of the SVC-RA junction and fdevice closure of the ASD II, some with use of covered stent. GP 2: extracardiac Fontan is done with Fenetration by single Surgeon. Result: Mean age 4.8 year for (gp1), 3.5 year for (gp2) mean weight is 20 kg& 14 kg respectively, median median sat is 95% and 88% (p < 0.07) , median pulmonary artery pressure is 15 mmhg and 12 mmhg , hospital stay is 2 days and 13 days (p < 0.05) ,7 patients has pleural effusion and 7 has atrial tachy cardia from gp 2 none from gp 1, median follow up 4.8 year. Conclusion: We conclude that Trans catheter completion of Fontan approach in selected patient is safe and considered an alternative approach.