1.Outcome of the Fontan Operation: Okayama Experience.
Journal of the Korean Pediatric Cardiology Society 2007;11(1):44-44
No abstract available.
Fontan Procedure*
2.Long-term Outcome of Fontan Operation.
Journal of the Korean Pediatric Cardiology Society 2005;9(1):85-90
No abstract available.
Fontan Procedure*
3.Modified fontan procedure with extracardiac edicardial lateral tunnel: New surgical technique.
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(5):422-425
No abstract available.
Fontan Procedure*
4.Bidirectional cavopulmonary shunt operations as palliation or pre-fontan stage operation.
Jae Jin HAN ; Chan Young RHA ; Dong Moon SOH ; Young Tak LEE ; Dong Man SEO ; Pyo Won PARK ; Young Kwan PARK ; Yung Kyoon LEE ; Heung Jae LEE ; Yeon Hyeon CHOE
The Korean Journal of Thoracic and Cardiovascular Surgery 1992;25(4):406-411
No abstract available.
Fontan Procedure*
5.Early and Intermediate Outcomes after the Fontan Procedure in Complex Heart Anomalies.
Bing JIA ; Zhanggen CHEN ; Xin LI ; Ming YE
Journal of the Korean Pediatric Cardiology Society 2007;11(1):45-45
No abstract available.
Fontan Procedure*
;
Heart*
6.Modified fontan procedure for single or dominant right ventricle.
Wan Ki BAEK ; Joon Young CHOI ; Jeong Ryul LEE ; Yong Jin KIM ; Joon Ryang RHO ; Kyung Phill SUH
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(3):310-319
No abstract available.
Fontan Procedure*
;
Heart Ventricles*
7.Echocardiographic Assessment of Pulmonary Arteries Pulsatility Index in Fontan Circulation.
Reza SHABANIAN ; Mohammad Reza MIRZAAGHAYAN ; Minoo DADKHAH ; Mehdi HOSSEINI ; Mitra RAHIMZADEH ; Parvin AKBARI ASBAGH ; Mohammad Ali NAVABI
Journal of Cardiovascular Ultrasound 2015;23(4):228-232
BACKGROUND: Late complications after Fontan procedure may be due to the absence of pump and pulsatile pulmonary blood flow in this type of palliation. Our aim was to quantify the degree of pulsation by echocardiographic method in patients with extracardiac total cavopulmonary connection (ECTCPC) in comparison with biventricular circulation and few cases of pulsatile Fontan. METHODS: In a case series study, pulsatility index (PI) derived by echocardiographic method were compared between 20 patients with ECTCPC, 6 patients with pulsatile Fontan and 18 normal individual aged 4 to 20 years old. All patients were in New York Heart Association class of I and there was no report of complication. RESULTS: In patients with ECTCPC pulmonary artery branches Doppler flow study showed lower peak and mean velocities compared to the pulsatile Fontan and normal groups. ECTCPC patients had PI of 0.59 +/- 0.14 and 0.59 +/- 0.09 for right and left pulmonary arteries (RPA and LPA) respectively. PI was higher in patients with preserved antegrade flow (RPA PI = 0.94 +/- 0.26, LPA PI = 0.98 +/- 0.27) and in normal individuals (RPA PI = 1.59 +/- 0.12, LPA PI = 1.64 +/- 0.17) for both branches (p = 0.000). CONCLUSION: Using a Doppler derived index for pulsatility, patients with ECTCPC had the least pulsation. The pulmonary artery flow pattern in patients with preserved antegrade flow showed higher pulsatility indices in both branches. Normal individuals had the greatest pulsatility index.
Echocardiography*
;
Fontan Procedure
;
Heart
;
Humans
;
Pulmonary Artery*
8.Treatment of Protein-losing Enteropathy After Fontan Procedure by Conversion to the Total Cavopulmonary Connection with Fenestration.
Hyun Sung LEE ; Young Hwan PARK ; Yoo Sun HONG ; Seok Won SONG ; Jin Goo LEE ; Bum Koo CHO
The Korean Journal of Thoracic and Cardiovascular Surgery 2001;34(1):85-90
As the operative mortality has diminished and the number of survivors has increased after Fontan procedure, morbidities related to the unnatural physiology of cavopulmonary flow have developed. One of the complications by the hemodynamic derangement after Fontan procedure is a protein-losing enteropathy. This is a rare but life-threatening complication after the Fontan operation. Treatment strategies are highly variable. But, reports on successful management are limited. We experienced three cases of protein-losing enteropathy after the Fontan operation. We report that the conversion to the total extracardiac or intracardiac cavopulmonary connection with fenestration is a satisfactory treatment modality for protein- losing enteropathy after the Fontan operation.
Fontan Procedure*
;
Hemodynamics
;
Humans
;
Mortality
;
Physiology
;
Protein-Losing Enteropathies*
;
Survivors
9.Recent Issues of Complex Transposition of the Great Arteries.
Journal of the Korean Pediatric Cardiology Society 2006;10(2):139-144
The definition of complex transposition of the great arteries is not certain. Usually, the heart of simple transposition of the great arteries with atrioventricular valve anomaly, subpulmonary stenosis (left ventricular outflow tract obstruction; LVOTO), and coarctation (COA) seems to be the complex transposition of the great arteries. In this paper, the hearts with severe AV valve anomaly, hypoplastic ventricle as the candidate of Fontan procedure were excluded. Several authors published the result of complex TGA surgery worse than that of simple TGA, but recently, many authors emphasized that the result of complex TGA surgery was not worse even in the case including VSD, PS, and COA. This improvement can be achieved by precise anatomic diagnosis, and well designed surgical plan and better postoperative care.
Arteries*
;
Constriction, Pathologic
;
Diagnosis
;
Fontan Procedure
;
Heart
;
Postoperative Care
10.Plastic bronchitis in children: 2 cases.
Yeo Hyang KIM ; Hee Jung CHOI ; Jung Ok KIM ; Myung Chul HYUN
Korean Journal of Pediatrics 2009;52(7):832-836
Plastic bronchitis is a rare disorder characterized by the formation of extensive, obstructing endobronchial casts. It is associated with asthma and complex cardiac defects such as those requiring the Fontan procedure. The treatment of plastic bronchitis comprises conventional therapy involving spontaneous expectoration and bronchoscopic removal and specific therapy with several new drugs. Herein, we describe the cases of 2 patients diagnosed with plastic bronchitis accompanied with a different underlying disease, which were treated with inhaled corticosteroid and low-dose oral clarithromycin.
Asthma
;
Bronchitis
;
Bronchoscopes
;
Child
;
Clarithromycin
;
Fontan Procedure
;
Humans
;
Plastics