Is Fontan surgery safe?
Improved patient selection, patient preparation, and surgical techniques have led to improved outcomes, and many patients with Fontan circulation enjoy a high quality of life; however, there are many complications of the procedure such as exercise intolerance, ventricle failure, right atrium dilatation and arrhythmia.
How long does a Fontan procedure take?
How long does the Fontan procedure take? This surgical procedure usually takes about four hours to perform. There are not as many risks following this surgery as are seen with the Norwood procedure. The amount of time your child will need to be in the hospital is usually around 10 to 14 days.
How many people have had Fontan procedure?
The worldwide population of patients with Fontan circulation grew to an estimated 50 000 to 70 000 patients in 2018, with 40% of patients >18 years of age. The current estimate of 30-year survival after surgical Fontan completion is ≈85%.
What happens when a Fontan fails?
Late Fontan failure may present insidiously over years. It is a failure of medical management to interpret the absence of overt symptoms or ascites as evidence of optimal haemodynamic status in the functionally univentricular circulation.
How successful is Fontan procedure?
A review of 86 patients who underwent Fontan procedures at Mayo Clinic and who received 152 direct current cardioversions for treatment of atrial arrhythmias, published in International Journal of Cardiology in April 2016, showed that cardioversion was successful in 73 percent of the patients, and the success rate was …
What does a Fontan procedure fix?
The Fontan operation allows for separation of the two circulations by re-routing under-oxygenated blood from the body directly to the blood vessels that lead to the lungs, thereby allowing the single ventricle to pump only oxygenated blood to the body.
What does a Fontan procedure treat?
The Fontan procedure is done for children who are born with heart problems like hypoplastic left heart syndrome (HLHS), tricuspid atresia, and double outlet right ventricle.
What are Fontan associated diseases?
Fontan-associated liver disease is a hepatic disorder arising from hemodynamic changes and systemic venous congestion following Fontan surgery. The histological changes produced in the liver are similar but not equivalent to those seen in other forms of cardiac liver disease.