30-year experience of Fontan surgery: single-centre's data.

摘要: The Fontan procedure has been modified several times since it was introduced into practice in 1968. As many patients now survive to adulthood, attention is directed towards their clinical status and late morbidity. We report our surgical experience of 30 years procedures. From January 1985 2015, 80 underwent surgery. Twenty-one received an atrio-pulmonary (Group I), four total cavopulmonary connection (TCPC) with intra-atrial lateral tunnel II), six extra-cardiac TCPC aortic homograft (group III) 49 expanded polytetrafluoroethylene conduit. They were followed for early mortality, long-term survival, postoperative morbidity reoperations. mean follow-up time 7.4 ± 6.6 years. Kaplan–Meier estimated 15-year survival rate 42% Group I, 50% II, 83% III 94% IV. median length stay intensive care unit, intubation chest drain 90 h (IQR, 46–119), 8 h 6–16) 18 days 12–28) respectively. Early complications bleeding (6), taken down circulation (3) acute heart failure managed by left bypass (1). Late-occurring morbidities included arrhythmias protein-losing enteropathy (2), thromboembolism (2) tracheal stenosis Fourteen (18%) had redo Our series showed improving results after completion excellent mid-term outcome result should be followed.