Publication: Single-stage total cavopulmonary venous connection in adults: Three cases report describing the early results of this procedure
Issued Date
2021-06-01
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01252208
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2-s2.0-85108105276
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.104, No.6 (2021)
Suggested Citation
Ekarat Nitiyarom, Paweena Chungsomprasong, Thaworn Subtaweesin, Somchai Sriyoschati Single-stage total cavopulmonary venous connection in adults: Three cases report describing the early results of this procedure. Journal of the Medical Association of Thailand. Vol.104, No.6 (2021). doi:10.35755/jmedassocthai.2021.06.11888 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/78148
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Title
Single-stage total cavopulmonary venous connection in adults: Three cases report describing the early results of this procedure
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Abstract
Background: The modified Fontan procedure has routinely been performed in children in the present study hospital. Recently, some adults with functionally univentricular hearts were potential candidates for a Fontan completion. Objective: To review the early results of the single stage Fontan procedure in three adult patients in the last two years. Case Report: There was no mortality. Re-operations were observed in two patients. The mean extubation time, ICU stay, and hospital stay were three days, five days, and ten days, respectively. The median post-operative oxygenation was 95%. The NYHA class improved significantly in all patients. Conclusion: Single stage Fontan completion can be performed in carefully selected adult patients. The present report is the early results in three consecutive patients over the last two years. The long-term outcome needs to be followed. The authors hope to enroll more adult patients with univentricular heart and to determine the criteria for a potential adult candidate in the future.