Bridges ND. Fenestration of the Fontan baffle: Benefits and complications.
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2001;
1:9-14. [PMID:
11486202 DOI:
10.1016/s1092-9126(98)70004-3]
[Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Using a baffle fenestration or adjustable atrial septal defect in a modified Fontan operation is now a common practice. Hemodynamic benefits include increased cardiac index and systemic oxygen transport, as well as lower systemic venous pressure. The incidence and duration of pleural effusions is also reduced by this approach. Potential complications include those associated with the closure mechanism (snare or umbrella) as well as the possibility of paradoxical embolism. This review addresses our current understanding of the risks and benefits of this procedure. Copyright 1998 by W.B. Saunders Company
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