Said Sameh M, Burkhart Harold M, Dearani Joseph A
Division of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, USA.
World J Pediatr Congenit Heart Surg. 2012 Apr 1;3(2):171-82. doi: 10.1177/2150135111434806.
The Fontan procedure is now considered the final common pathway for patients with anatomical or functional single ventricle. These patients initially have their systemic and pulmonary circulations in parallel, supported by one functional ventricular chamber. The ultimate goal with this procedure is to separate the two circulations, to prevent mixing of venous and arterial blood, and to provide adequate tissue oxygenation. The objective of this article is to review the Fontan procedure with its various modifications and refinements since its introduction to clinical practice in 1971, by Fontan and Baudet.
目前，Fontan手术被认为是患有解剖学或功能性单心室患者的最终通用治疗方法。这些患者最初的体循环和肺循环是并行的，由一个功能正常的心室腔来维持。该手术的最终目标是将这两个循环分开，防止静脉血和动脉血混合，并提供足够的组织氧合。本文的目的是回顾自1971年Fontan和Baudet将其引入临床实践以来，Fontan手术的各种改良和改进。
