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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/25034
Title: Single-stage versus two-stage modified Fontan procedure
Authors: Sukasom Attanavanich
Alisa Limsuwan
Suthep Vanichul
Panuwat Lertsithichai
Montein Ngodngamthaweesuk
Mahidol University
Keywords: Medicine
Issue Date: 1-Jan-2007
Citation: Asian Cardiovascular and Thoracic Annals. Vol.15, No.4 (2007), 327-331
Abstract: We compared surgical outcomes of the single-stage and two-stage modified Fontan edures to clarify clinical superiority. Of 28 children undergoing a modified Foritan procedure from October 1995 to October 2005, 15 had a 1-stage and 13 had a 2-stage operation. In the 2-stage group, pulmonary artery growth was evaluated before and after the first stage. Operative mortality was 26.6% in the 1-stage group and 0% in the 2-stage group. The benefits of a previous bidirectional Glenn shunt were decreased cyanosis and volume overload, but there was no significant difference in pulmonary artery growth reflected in pulmonary artery indices before and after the bidirectional Glenn procedure. Older children underwent a 2-stage modified Fontan procedure and had better outcomes in terms of lower mortality, improved oxygen saturation, decreased volume load, and less deterioration of atrioventricular valve regurgitation.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=34548500334&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/25034
ISSN: 02184923
Appears in Collections:Scopus 2006-2010

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