Modified extracardiac Fontan with a fenestrated pericardial patch. Issue 7 (22nd May 2020)

• Record Type: Journal Article
• Authors: Guariento, Alvise; Pradegan, Nicola; Castaldi, Biagio; Cattapan, Claudia; Weixler, Viktoria; Blitzer, David; Vida, Vladimiro L.
• Is Part Of: Journal of cardiac surgery. Volume 35:Issue 7(2020)
• Page Start: 1618
• Page End: 1620
• Publication Date: 2020-05-22
• Subjects: congenital heart disease; Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.14595
• Languages: English
• ISSNs: 0886-0440

Abstract

Abstract: Extracardiac Fontan is a preferred treatment strategy in many centers treating patients with single ventricle physiology, and many of these centers regularly include a fenestration between the extracardiac conduit and the common atrium. Spontaneous closure of the fenestration is a common complication of this technique and is independently associated with increased morbidity and mortality. Recently, we introduced a novel technique for fenestration of the extracardiac conduit wherein a pericardial patch is utilized at the fenestration point with excellent outcomes in the midterm fenestration patency rates, thus reducing the risk of acute post‐Fontan complications.