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Young age remains a reported risk factor for a successful Fontan operation despite improved survival rates. Since March 1978, the Fontan operation has been performed in 47 patients. To avoid a primary or secondary palliative shunt, an early Fontan procedure (Group 1: mean age 1.5 +/- 0.5 years, range 0.6 to 2) has been performed in 17 children with the outcome similar to that of the remaining 30 older patients (Group 2: mean age 7.5 +/- 5 years, range 2.4 to 23 years). Preoperatively both groups had acceptable hemodynamic status for a successful Fontan result. Operative variables including cardiopulmonary bypass time, aortic cross-clamp time and core temperature were similar between groups and did not affect mortality. The postoperative mortality rate including early surgical (0% vs. 13%, respectively), late (18% vs. 12%) and total (18% vs. 23%) was similar between Groups 1 and 2 (p greater than 0.05). Immediate postoperative arrhythmias were more frequent in Group 1 (71% vs. 25%, p less than 0.01) with no related mortality, while late arrhythmias occurred with equal frequency (29% vs. 39%, p greater than 0.05). Group 1 infants required a longer hospital stay (22 +/- 9 vs. 14 +/- 5 days, p less than 0.01). Thus, young age is not a risk factor for successful outcome of the Fontan operation in patients with acceptable preoperative hemodynamic status. An early Fontan operation may also avoid prolonged palliative procedures and their potential deleterious effects.
H S Weber, and
M M Gleason, and
J L Myers, and
J A Waldhausen, and
S E Cyran, and
B G Baylen
February 1990,
Journal of the American College of Cardiology,
H S Weber, and
M M Gleason, and
J L Myers, and
J A Waldhausen, and
S E Cyran, and
B G Baylen
November 1992,
Circulation,
H S Weber, and
M M Gleason, and
J L Myers, and
J A Waldhausen, and
S E Cyran, and
B G Baylen
December 2018,
Vaccine,
H S Weber, and
M M Gleason, and
J L Myers, and
J A Waldhausen, and
S E Cyran, and
B G Baylen
March 1989,
Pediatric emergency care,
H S Weber, and
M M Gleason, and
J L Myers, and
J A Waldhausen, and
S E Cyran, and
B G Baylen
June 2022,
Journal of cardiac surgery,
H S Weber, and
M M Gleason, and
J L Myers, and
J A Waldhausen, and
S E Cyran, and
B G Baylen
February 2022,
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery,
H S Weber, and
M M Gleason, and
J L Myers, and
J A Waldhausen, and
S E Cyran, and
B G Baylen
January 2008,
Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko,
H S Weber, and
M M Gleason, and
J L Myers, and
J A Waldhausen, and
S E Cyran, and
B G Baylen
September 1961,
Revista chilena de pediatria,
H S Weber, and
M M Gleason, and
J L Myers, and
J A Waldhausen, and
S E Cyran, and
B G Baylen
September 1988,
Current problems in pediatrics,
H S Weber, and
M M Gleason, and
J L Myers, and
J A Waldhausen, and
S E Cyran, and
B G Baylen
January 1987,
Canadian journal of anaesthesia = Journal canadien d'anesthesie,
