The Fontan procedure or Fontan–Kreutzer procedure is a palliative surgical procedure used in children with univentricular hearts. It involves diverting the venous blood from the inferior vena cava (IVC) and superior vena cava (SVC) to the pulmonary arteries .

2023年7月2日 · Fontan completion is a major procedure and patients with univentricular congenital heart disease are complex. Prior to Fontan, proper workup and selection criteria are critical for optimal patient outcomes.

2022年12月19日 · The Fontan procedure lets oxygen-poor blood from the lower part of your body go straight to your pulmonary artery (and then lungs) for oxygen instead of going through your heart first. This procedure usually follows a different operation (Glenn procedure) that sends oxygen-poor blood from your upper body to your pulmonary artery and lungs.

The Fontan procedure is done for children who are born with heart problems like hypoplastic left heart syndrome (HLHS), tricuspid atresia, and double outlet right ventricle. Depending on the heart problem, children may need the Norwood procedure and Glenn procedure before the Fontan surgery.

2007年9月11日 · The bidirectional Glenn was performed at a median age of 1.3 years (0.8 to 2.4 years), and the median interval time between this procedure and Fontan completion was 2.9 years (1.9 to 4 years). All patients underwent a cardiac catheterization before Fontan completion.

How is the Fontan procedure done? The patch that was placed in the right upper chamber is removed (1). A wall, called a baffle (2), is built in the right upper chamber. The baffle guides the blue blood coming from the lower body into the blood vessels that …

The interventional completion of the extracardiac Fontan comprises 4 key steps: (1) femoral and jugular venous access; (2) perforation of the pericardial membrane within the conduit separating the superior and inferior caval venous circulation; (3) balloon dilatation of the membrane; and finally (4) the deployment of a covered stent to complete ...

2017年7月18日 · The Fontan procedure is the third and final stage in the reconstruction of a single ventricle defect and therefore, is also known as the Fontan completion operation.

The completion Fontan procedure is usually performed at 18 to 24 months of age. The Fontan technique that we have employed for HLHS anatomy is the total cavopulmonary connection with a lateral tunnel ( Fig. 123-24 ).

2023年7月2日 · The Fontan procedure provides a palliative treatment option for pediatric patients with functionally single ventricle congenital heart disease, with an estimated incidence of 0.08 to 0.4 per 1,000 live births.