Outcomes of the Conversion of the Fontan-Kreutzer Operation to a Total Cavopulmonary Connection for the Failing Univentricular Circulation

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorFERNANDES, Gabriel Carmona
dc.contributor.authorSILVA, Guilherme Viotto Rodrigues da
dc.contributor.authorCANEO, Luiz Fernando
dc.contributor.authorTANAMATI, Carla
dc.contributor.authorTURQUETTO, Aida Luiza Ribeiro
dc.contributor.authorJATENE, Marcelo Biscegli
dc.date.accessioned2019-03-26T14:28:19Z
dc.date.available2019-03-26T14:28:19Z
dc.date.issued2019
dc.description.abstractBackground: The Fontan-Kreutzer procedure (FK) was widely performed in the past, but in the long-term generated many complications resulting in univentricular circulation failure. The conversion to total cavopulmonary connection (TCPC) is one of the options for treatment. Objective: To evaluate the results of conversion from FK to TCPC. Methods: A retrospective review of medical records for patients who underwent the conversion of FK to TCPC in the period of 1985 to 2016. Significance p < 0,05. Results: Fontan-type operations were performed in 420 patients during this period: TCPC was performed in 320, lateral tunnel technique in 82, and FK in 18. Ten cases from the FK group were elected to conversion to TCPC. All patients submitted to Fontan Conversion were included in this study. In nine patients the indication was due to uncontrolled arrhythmia and in one, due to protein-losing enteropathy. Death was observed in the first two cases. The average intensive care unit (ICU) length of stay (LOS) was 13 days, and the average hospital LOS was 37 days. A functional class by New York Heart Association (NYHA) improvement was observed in 80% of the patients in NYHA I or II. Fifty-seven percent of conversions due to arrhythmias had improvement of arrhythmias; four cases are cured. Conclusions: The conversion is a complex procedure and requires an experienced tertiary hospital to be performed. The conversion has improved the NYHA functional class despite an unsatisfactory resolution of the arrhythmia.eng
dc.description.indexMEDLINEeng
dc.identifier.citationARQUIVOS BRASILEIROS DE CARDIOLOGIA, v.112, n.2, p.130-134, 2019
dc.identifier.doi10.5935/abc.20180256
dc.identifier.issn0066-782X
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/31140
dc.language.isoeng
dc.publisherARQUIVOS BRASILEIROS CARDIOLOGIAeng
dc.relation.ispartofArquivos Brasileiros de Cardiologia
dc.rightsopenAccesseng
dc.rights.holderCopyright ARQUIVOS BRASILEIROS CARDIOLOGIAeng
dc.subjectHeart Defects Congenital/surgeryeng
dc.subjectArrihythmiaseng
dc.subjectCardiac/surgeryeng
dc.subjectFontan Procedureeng
dc.subjectMortalityeng
dc.subjectFontan-Kreutzer Prodedureeng
dc.subject.otheratriopulmonary connectioneng
dc.subject.otherarrhythmia surgeryeng
dc.subject.other3 decadeseng
dc.subject.othercomplicationseng
dc.subject.otherimpacteng
dc.subject.otherrepaireng
dc.subject.wosCardiac & Cardiovascular Systemseng
dc.titleOutcomes of the Conversion of the Fontan-Kreutzer Operation to a Total Cavopulmonary Connection for the Failing Univentricular Circulationeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.citation.scopus1
hcfmusp.contributor.author-fmusphcGABRIEL CARMONA FERNANDES
hcfmusp.contributor.author-fmusphcGUILHERME VIOTTO RODRIGUES DA SILVA
hcfmusp.contributor.author-fmusphcLUIZ FERNANDO CANEO
hcfmusp.contributor.author-fmusphcCARLA TANAMATI
hcfmusp.contributor.author-fmusphcAIDA LUIZA RIBEIRO TURQUETTO
hcfmusp.contributor.author-fmusphcMARCELO BISCEGLI JATENE
hcfmusp.description.beginpage130
hcfmusp.description.endpage134
hcfmusp.description.issue2
hcfmusp.description.volume112
hcfmusp.origemWOS
hcfmusp.origem.pubmed30785577
hcfmusp.origem.scieloSCIELO:S0066-782X2019000200130
hcfmusp.origem.scopus2-s2.0-85061866622
hcfmusp.origem.wosWOS:000458635000004
hcfmusp.publisher.cityRIO DE JANEIROeng
hcfmusp.publisher.countryBRAZILeng
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