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Fontan's operation: evolution from a procedure to a process

Published online by Cambridge University Press:  10 January 2006

Jorge M. Giroud  and
Jeffrey P. Jacobs
Jorge M. Giroud
Affiliation:
The Congenital Heart Institute of Florida, University of South Florida, St Petersburg, Florida, United States of America
Jeffrey P. Jacobs
Affiliation:
The Congenital Heart Institute of Florida, University of South Florida, St Petersburg, Florida, United States of America
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Extract

It was in 1971, Fontan and Baudet1 published their experience using a surgical procedure to restore a physiologic circulation in three patients with tricuspid atresia. Of the three patients, two survived, thus ushering a new era in the treatment of children with complex forms of congenital cardiac disease. This operation itself, however, was the culmination of a series of experimental and clinical observations that underlined the clinical possibility totally to bypass the right side of the heart.

Keywords

Single ventricleuniventricular heartdouble inlet ventricletricuspid atresia
Type
Research Article
Information
Cardiology in the Young , Volume 16 , Supplement S1: Controversies and Challenges in the Management of the Functionally Univentricular Heart , February 2006 , pp. 67 - 71
Copyright
© 2006 Cambridge University Press

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References

Fontan F, Baudet E. Surgical repair of tricuspid atresia. Thorax 1971; 26: 240–248.Google Scholar
Starr I, Jeffers WA, Meade Jr RH. The absence of conspicuous increments of venous pressure after severe damage to the right ventricle of the dog, with a discussion of the relation between clinical congestive failure and heart disease. Am Heart J 1943; 26: 291–301.Google Scholar
Rodbard S, Wagner D. Bypassing the right ventricle. Proc Soc Exp Biol Med 1949; 71: 69–70.Google Scholar
Carlon CA, Mondini PG, de Marchi R. Su una nuova anastomosi vasale per la terapia chirugica di alcuni vizi cardiovascolari. Ital Chir 1950; 6: 760–774.Google Scholar
Glenn WWL. Shunt between superior vena cava and distal right pulmonary artery: report of clinical application. N Engl J Med 1958; 259: 117–120.Google Scholar
Jacobs M. The functional single ventricle and Fontan's operation. In: Mavroudis C, Backer CL (eds). Pediatric Cardiac Surgery, 3rd edn. Mosby, St Louis, 2003, pp 496–523.
Dogliotti AM, Venere G, Tarquini A, Actis-Dato A. L'intervento di anastomosi vena cava-arteria polmonare nella tetrade di Fallot e in altre cardiopatie. Minerva Cardioangiol 1961; 9: 577–593.Google Scholar
Kreutzer G, Galindez E, Bono H, De Palma C, Laura JP. An operation for the correction of tricuspid atresia. J Thorac Cardiovasc Surg 1973; 66: 613–621.Google Scholar
Bjork VO, Olin CL, Bjarke BB, Thoren CA. Right atrial-right ventricular anastomosis for correction of tricuspid atresia. J Thorac Cardiovasc Surg 1979; 77: 452–458.Google Scholar
Yacoub MH, Radley-Smith R. Use of a valved conduit from right atrium to pulmonary artery for “correction” of single ventricle. Circulation 1976; 54 (Suppl): III63–III70.Google Scholar
Norwood WI, Lang P, Hansen DD. Physiologic repair of aortic atresia-hypoplastic left heart syndrome. N Engl J Med 1983; 308: 23–26.Google Scholar
Mair DD, Puga FJ, Danielson GK. Late functional status of survivors of the Fontan procedure performed during the 1970s. Circulation 1992; 86 (Suppl): II106–II109.Google Scholar
de Leval MR, Kilner P, Gewillig M, Bull C. Total cavopulmonary connection: a logical alternative to atriopulmonary connection for complex Fontan operations. Experimental studies and early clinical experience. J Thorac Cardiovasc Surg 1988; 96: 682–695.Google Scholar
DeLeon SY, Idriss FS, Ilbawi MN, et al. The role of the Glenn shunt in patients undergoing the Fontan operation. J Thorac Cardiovasc Surg 1983; 85: 669–677.Google Scholar
Bridges ND, Jonas RA, Mayer JE, Flanagan MF, Keane JF, Castaneda AR. Bidirectional cavopulmonary anastomosis as interim palliation for high-risk Fontan candidates. Early results. Circulation 1990; 82 (Suppl): IV170–IV176.Google Scholar
Jacobs ML, Rychik J, Rome JJ, et al. Early reduction of the volume work of the single ventricle: the hemi-Fontan operation. Ann Thorac Surg 1996; 62: 456–461; discussion 461–462.Google Scholar
Bridges ND, Mayer Jr JE, Lock JE, et al. Effect of baffle fenestration on outcome of the modified Fontan operation. Circulation 1992; 86: 1762–1769.Google Scholar
Marcelletti CF, Iorio FS, Abella RF. Late results of extracardiac Fontan repair. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 1999; 2: 131–142.Google Scholar
Kaulitz R, Hofbeck M. Current treatment and prognosis in children with functionally univentricular hearts. Arch Dis Child 2005; 90: 757–762.Google Scholar
Kumar SP, Rubinstein CS, Simsic JM, Taylor AB, Saul JP, Bradley SM. Lateral tunnel versus extracardiac conduit Fontan procedure: a concurrent comparison. Ann Thorac Surg 2003; 76: 1389–1396.Google Scholar
Fontan F, Kirklin JW, Fernandez G, et al. Outcome after a “perfect” Fontan operation. Circulation 1990; 81: 1520–1536.Google Scholar
Stamm C, Friehs I, Mayer Jr JE, et al. Long-term results of the lateral tunnel Fontan operation. J Thorac Cardiovasc Surg 2001; 121: 28–41.Google Scholar
Mavroudis C, Deal BJ, Backer CL. The beneficial effects of total cavopulmonary conversion and arrhythmia surgery for the failed Fontan. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2002; 5: 12–24.Google Scholar
Balling G, Vogt M, Kaemmerer H, Eicken A, Meisner H, Hess J. Intracardiac thrombus formation after the Fontan operation. J Thorac Cardiovasc Surg 2000; 119 (4 Pt 1): 745–752.Google Scholar
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: 1063–1073.Google Scholar
Carey JA, Hamilton JR, Hilton CJ, et al. Orthotopic cardiac transplantation for the failing Fontan circulation. Eur J Cardiothorac Surg 1998; 14: 7–13.Google Scholar
Michielon G, Parisi F, Squitieri C, et al. Orthotopic heart transplantation for congenital heart disease: an alternative for high-risk Fontan candidates? Circulation 2003; 108: II-140.Google Scholar
Jacobs JP, Jacobs ML, Mavroudis C, Lacour-Gayet FG. Executive Summary: The Society of Thoracic Surgeons Congenital Heart Surgery Database – Fourth Harvest – (2002–2003).The Society of Thoracic Surgeons (STS) and Duke Clinical Research Institute (DCRI), Duke University Medical Center, Durham, North Carolina, USA, Spring 2004 Harvest.