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General Thoracic and Cardiovascular Surgery

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01-12-2012 | Current Topics Review Article

Extracardiac conduit Fontan procedure versus intra-atrial lateral tunnel Fontan procedure

Author: Toshiyuki Katogi

Published in: General Thoracic and Cardiovascular Surgery | Issue 12/2012

Abstract

The Fontan procedure has provided excellent surgical palliation for patients with various types of univentricular hearts, and it has evolved over time. Among many modifications, the lateral tunnel Fontan connection (LTF) and the extracardiac Fontan connection (ECF) are currently the most popular techniques for completing the total cavopulmonary connection. The advantages and disadvantages of both techniques are reviewed here. The advantages of the ECF includes adaptability to all types of univentricular hearts, ease of construction without aortic cross clamping and fewer atrial suture lines. The advantages of the LTF include the ability to complete Fontan circulation in young, very small patients with potential for growth. This review also compares post-operative arrhythmias and fluid dynamics associated with both techniques.

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Title: Extracardiac conduit Fontan procedure versus intra-atrial lateral tunnel Fontan procedure
Author: Toshiyuki Katogi
Publication date: 01-12-2012
Publisher: Springer Japan
Published in: General Thoracic and Cardiovascular Surgery / Issue 12/2012
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-012-0161-9

At a glance: The STEP trials

Springer Medicine

Extracardiac conduit Fontan procedure versus intra-atrial lateral tunnel Fontan procedure

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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