Hassoulas J, Barnard M S, Sanchez H, Barnard C N
S Afr Med J. 1982 Sep 4;62(11):356-8.
The Fontan procedure was applied to correct 13 cases of tricuspid atresia, all with concordant arterial connections. Seven of the patients had had a total of ten previous operations to create palliative shunts. There were 3 early deaths, all due to low cardiac output states, but no late deaths. The postoperative management of the survivors was not unduly complicated, except in the 1st patient. Complete heart block developed transiently in 2 patients. The results are classified as good to very good in all 10 survivors. Our experience supports the opinion that the Fontan procedure gives good symptomatic relief in patients with tricuspid atresia. We discuss the possibility of improving long-term left ventricular function by early complete correction.
采用Fontan手术矫治13例三尖瓣闭锁患者，均为一致性动脉连接。其中7例患者此前共接受过10次姑息性分流手术。有3例早期死亡，均因低心排血量状态，但无晚期死亡病例。除第1例患者外，其余存活患者的术后管理并无过度复杂之处。2例患者出现短暂性完全性心脏传导阻滞。所有10例存活患者的结果分类为良好至非常好。我们的经验支持以下观点，即Fontan手术能使三尖瓣闭锁患者的症状得到明显缓解。我们讨论了通过早期完全矫治改善长期左心室功能的可能性。
