Lateral Tunnel And Extracardiac Fontan. The aim of this study was to compare the outcomes of the lateral tunnel (lt) and extracardiac conduit (ecc) fontan procedures at a single institution over the same time period. Introduction to the fontan operation.
Gundry sr(1), razzouk aj, del rio mj, shirali g, bailey ll. The lateral tunnel has potential for growth, but has the disadvantage that there are multiple atrial suture lines and part of the atrium continues to be exposed to high venous pressure. That which typifies this modification of the fontan growth of the extracardiac connection between the ivc
The Fontan Operation Was First Performed In 1968.
Between january 1992 and december 1998, 54 patients underwent a total cavopulmonary connection fontan procedure. However, many institutions have begun to use the bdg and extracardiac fontan since the late 1990s to the early 2000s (16,17,19,22). Operative mortality was 5 (3 lt, 2 ecc).
The Study Population Includes 162 Fontan Procedures Of Which 113 Were Lateral Tunnel And 49 Were Extracardiac Conduits.
Louis university, 3 patients received the lateral tunnel and 33 the extracardiac conduit fontan. (1)department of surgery, loma linda university medical center, calif, usa. Extracardiac versus lateral tunnel fontan:
Lateral Tunnel Versus Extracardiac Conduit Fontan Procedure:
The concept of a lateral tunnel for the fontan operation is now widely accepted. The lt incorporates pericardium in the creation of the fontan conduit along the surface of the heart, while the extracardiac conduit. Methods from november 1995 through october 2002, 70.
Over The Following 20 Years, These Two Operations Have Been Compared.
In our opinion, it is now clear that after two decades of experience, the extracardiac fontan is superior. Originally described for thetreatmentofabsentrightatrioventricularconnection,the technique has now been extended to many complex cardiac The construction of the extracardiac lateral tunnel fontan conduit using viable pedicled pericardium is a relatively simple, durable, and safe operation.
The Aim Of This Study Was To Compare The Outcomes Of The Lateral Tunnel (Lt) And Extracardiac Conduit (Ecc) Fontan Procedures At A Single Institution Over The Same Time Period.
Van doorn, md, frcs (c/th), and marc r. Fontan with lateral tunnel is associated with improved survival compared with extracardiac conduit j thorac cardiovasc surg. A concurrent comparison posted on march 25, 2013 by bendantzer in this paper by kumar et al.