Pitfalls in Extracardiac Conduit Fontan Technique

Optimizing Fontan blood flow dynamics is essential to attain the best early and late outcomes after the Fontan procedure. Although the extracardiac conduit is the most favored variant, recent studies have suggested it may not always carry the best outcomes. The apparent simplicity of the procedure m...

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Bibliographic Details
Published in:Operative techniques in thoracic and cardiovascular surgery 2022, Vol.27 (1), p.78-90
Main Authors: Daley, Michael, Reid, Bill, d'Udekem, Yves
Format: Article
Language:English
Subjects:
extracardiac
Fontan
operative technique
pitfalls
technical
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Summary:Optimizing Fontan blood flow dynamics is essential to attain the best early and late outcomes after the Fontan procedure. Although the extracardiac conduit is the most favored variant, recent studies have suggested it may not always carry the best outcomes. The apparent simplicity of the procedure may mask some of the technical nuances that need to be considered and addressed at the time of operation. We list the common technical pitfalls that may impact the outcomes and our recommendations for addressing them.
ISSN:1522-2942
1532-8627
DOI:10.1053/j.optechstcvs.2021.08.003