Podzolkov V P, Chiaureli M R, Alekian B G, Stoliar V L
Vestn Akad Med Nauk SSSR. 1989(10):46-51.
The results of Fontan's procedure performed in 51 patients with various congenital heart defects were analysed. The procedure was found to have the following risk factors: the total lung resistance is above 4 mu/m2, the ejection fraction of the arterial ventricle, under 55%, serious concomitant heart defects, and additional surgical procedures that increase the scope of surgical interventions. The best results were obtained after creating a valveless atriopulmonary anastomosis; the poorest results were associated with a right atrium-pulmonary trunk anastomosis possessing its own valve.
对51例患有各种先天性心脏缺陷的患者进行Fontan手术的结果进行了分析。发现该手术具有以下风险因素：总肺阻力高于4μ/m²、动脉心室射血分数低于55%、严重的合并心脏缺陷以及增加手术干预范围的额外手术操作。在建立无瓣膜的心房-肺动脉吻合术后获得了最佳结果；最差的结果与具有自身瓣膜的右心房-肺动脉干吻合术相关。
