Kao J M, Alejos J C, Grant P W, Williams R G, Shannon K M, Laks H
Department of Surgery, University of California, Los Angeles Medical Center 90024.
Ann Thorac Surg. 1994 Nov;58(5):1510-4. doi: 10.1016/0003-4975(94)91945-3.
The original atriopulmonary connection or "classic" Fontan operation is associated with several late complications such as arrhythmias, right atrial dilatation, and thromboembolism. This report describes our experience with 3 patients who presented with the acute onset of atrial arrhythmias and upon further evaluation were found to have significant hemodynamic lesions. After failing medical management, all 3 patients were treated successfully with surgical conversion of their atriopulmonary connection to a lateral tunnel cavopulmonary Fontan. The postoperative course of these patients was uneventful. However, long-term evaluation is needed to assess the efficacy of this technique in the prevention of postoperative morbidity.
最初的心房肺连接术或“经典”Fontan手术与多种晚期并发症相关，如心律失常、右心房扩张和血栓栓塞。本报告描述了我们对3例患者的治疗经验，这些患者出现急性房性心律失常，经进一步评估发现有严重的血流动力学损害。在药物治疗失败后，所有3例患者均通过手术将其心房肺连接转换为侧隧道式腔静脉肺动脉Fontan手术而成功治愈。这些患者术后过程顺利。然而，需要进行长期评估以评估该技术在预防术后发病方面的疗效。
