WebObjectives: To evaluate Fontan fenestration closure using the Amplatzer Duct Occluder II device (ADO2). Background: Fontan fenestration closure is a well established catheter intervention. A range of occlusion devices developed for other interventions have been utilized. Most of these devices, and especially the most commonly used Amplatzer … WebAug 1, 1996 · Fenestration of the Fontan circulation, leaving a controlled right-to-left shunt at surgery, has been shown to improve operative survival rates among high-risk patients and to shorten duration of hospital stay and pleural effusions. 123 Late elimination of the residual shunt has achieved separation of the systemic and pulmonary venous …
Frontiers Optimal Fenestration of the Fontan …
WebJul 1, 2009 · We advocate that fenestrations are kept patent in all patients, as other groups do [8]. In conclusion, a fenestration can be achieved with 100% long-term patency in the extracardiac Fontan. This technique is easy to reproduce and exempt of major complications. It is not thrombogenic and generates no arrhythmias ( Fig. 2 ). Fig. 2 WebJan 28, 2024 · Fontan fenestration does seem to reduce the risk of significant post-operative pleural effusion. There is a clear trend towards lower saturations in both the short and long term in those with … great clips idaho falls hours
Fenestrated Fontan Procedure - Operative Techniques in Cardiac and
WebSep 18, 2001 · The addition of a fenestration to allow right to left shunting after the Fontan operation has been shown to decrease the morbidity and mortality associated with this procedure. 1–3 Despite the improvement in operative survival, morbidity associated with the Fontan operation remains significant. WebJul 23, 2024 · Abstract. Fenestrating the Fontan circuit allows a protective right-to-left shunting at atrial level to overcome the period of low output in the postoperative period, decreasing morbidity and mortality. Spontaneous closure of fenestrations is well recognized, but in situations with favourable Fontan haemodynamics and failure of closure ... WebAug 9, 2024 · All Fontan circuits were fenestrated with a technique previously described. All procedures were performed under cardiopulmonary bypass with a majority having a short period of cross-clamping for the creation of the lower anastomosis between the graft and the IVC and the fenestration. great clips images