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Where are we after 50 years of the Fontan operation?在实施Fontan手术50年后，我们取得了哪些进展？
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Functionally univentricular heart and the fontan operation: lessons learned about patterns of practice and outcomes from the congenital heart surgery databases of the European association for cardio-thoracic surgery and the society of thoracic surgeons.功能性单心室心脏与Fontan手术：从欧洲心胸外科学会和胸外科医师协会先天性心脏手术数据库中汲取的关于实践模式与结果的经验教训
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[Pulmonary ventricle bypass operations].[肺动脉心室旁路手术]
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Fontan circulation and transplantation: Considerations for the complex candidate.Fontan循环与移植：复杂候选者的考量因素
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Innominate vein reconstruction in patients with bilateral superior vena cava undergoing bilateral bidirectional superior cavopulmonary anastomosis.在接受双侧双向上腔静脉-肺动脉吻合术的双侧上腔静脉患者中进行无名静脉重建。
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本文引用的文献

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Computational fluid dynamic simulations of a cavopulmonary assist device for failing Fontan circulation.计算流体动力学模拟在 Fontan 循环衰竭的腔静脉肺辅助装置中的应用。
J Thorac Cardiovasc Surg. 2019 Nov;158(5):1424-1433.e5. doi: 10.1016/j.jtcvs.2019.03.008. Epub 2019 Mar 21.
2
Augmentation of the pulmonary arteries at or prior to the Fontan procedure is not associated with worse long-term outcomes: a propensity-matched analysis from the Australia-New Zealand Fontan Registry†.在 Fontan 手术时或之前增强肺动脉与长期预后较差无关：来自澳大利亚-新西兰 Fontan 注册处的倾向匹配分析†。
Eur J Cardiothorac Surg. 2019 May 1;55(5):829-836. doi: 10.1093/ejcts/ezy376.
3
Extracardiac Fontan With Direct Inferior Vena Cava to Main Pulmonary Artery Connection Without Cardiopulmonary Bypass.体外循环下心外管道Fontan 术，直接连接下腔静脉至主肺动脉。
World J Pediatr Congenit Heart Surg. 2020 Jul;11(4):NP195-NP198. doi: 10.1177/2150135118765870. Epub 2018 Oct 10.
4
Two Ventricles Are Not Better Than One in the Fontan Circulation: Equivalent Late Outcomes.双心室并不优于 Fontan 循环中的单心室：等效的晚期结局。
Ann Thorac Surg. 2019 Mar;107(3):852-859. doi: 10.1016/j.athoracsur.2018.08.024. Epub 2018 Oct 6.
5
Intra-Extracardiac Versus Extracardiac Fontan Modifications: Comparison of Early Outcomes.心内外 Fontan 修正术与心外 Fontan 修正术：早期结果比较。
Ann Thorac Surg. 2019 Feb;107(2):560-566. doi: 10.1016/j.athoracsur.2018.07.080. Epub 2018 Sep 28.
6
Progress in experimental and clinical subpulmonary assistance for Fontan circulation.Fontan循环的实验性和临床性肺下辅助研究进展。
J Thorac Cardiovasc Surg. 2018 Nov;156(5):1949-1956. doi: 10.1016/j.jtcvs.2018.04.102. Epub 2018 May 4.
7
Late outcomes after the Fontan procedure in patients with single ventricle: a meta-analysis.单心室患者 Fontan 手术后的远期结果：荟萃分析。
Heart. 2018 Sep;104(18):1508-1514. doi: 10.1136/heartjnl-2017-312807. Epub 2018 Mar 13.
8
Targeted Increase in Pulmonary Blood Flow in a Bidirectional Glenn Circulation.双向格林循环中肺血流量的靶向增加
Semin Thorac Cardiovasc Surg. 2018 Summer;30(2):182-188. doi: 10.1053/j.semtcvs.2018.02.001. Epub 2018 Feb 8.
9
Outcomes of Patients Undergoing Primary Fontan Operation Beyond First Decade of Life.超过十岁接受初次Fontan手术患者的结局
World J Pediatr Congenit Heart Surg. 2017 Jul;8(4):487-494. doi: 10.1177/2150135117713696.
10
Long-term survival after the Fontan operation: Twenty years of experience at a single center.Fontan 手术后的长期生存：单中心 20 年经验。
J Thorac Cardiovasc Surg. 2017 Jul;154(1):243-253.e2. doi: 10.1016/j.jtcvs.2017.01.056. Epub 2017 Mar 6.

在实施Fontan手术50年后，我们取得了哪些进展？

Where are we after 50 years of the Fontan operation?

作者信息

Talwar Sachin, Marathe Supreet Prakash, Choudhary Shiv Kumar, Airan Balram

机构信息

Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.

Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India.

出版信息

Indian J Thorac Cardiovasc Surg. 2021 Jan;37(Suppl 1):42-53. doi: 10.1007/s12055-019-00906-y. Epub 2020 Mar 21.

DOI:10.1007/s12055-019-00906-y
PMID:33584026
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7858722/
Abstract

First introduced in 1971, the Fontan procedure is the final common destination for all patients with a functional single ventricle. The procedure itself has evolved tremendously over the last five decades. This review traces this journey and presents the importance, outcomes and future outlook of the procedure in the current era.

摘要

1971年首次引入的Fontan手术是所有功能性单心室患者的最终共同治疗手段。在过去的五十年里，该手术本身有了巨大的发展。这篇综述追溯了这一历程，并阐述了该手术在当今时代的重要性、治疗效果及未来展望。