Late reoperations for Fontan patients: state of the art invited review.
Late reoperations for Fontan patients: state of the art invited review.
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Fontan 患者的晚期再手术：最新技术邀请审查。
DOI：
10.1016/j.ejcts.2008.04.024
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
B. Deal
中科院分区：
文献类型：
--
作者：
C. Mavroudis;C. Backer;B. Deal
将房肺 Fontan 转换为全腔肺心外连接并同时进行心律失常手术和起搏器放置对于此类患者群体来说是一种安全有效的手术。从 1994 年到 2007 年，共有 118 名患者接受了这种手术，其中 1 名患者 (0.8%) 早期死亡，9 名患者 (7.6%) 晚期死亡。在我们 Fontan 转换的经验过程中，我们的手术策略已经发展到包括各种消融技术，用于治疗宏观折返性房性心动过速、局灶性（自动）房性心动过速、房室结折返性心动过速、因附属连接引起的房性心动过速、心房颤动和室性心动过速。本综述描述了我们用于治疗潜在房性心律失常的各种机制。我们还遇到过患有 Fontan 变异和其他复杂的解剖学和病理生理学畸变的患者，他们不适合标准的拆卸和消融手术。我们描述了这些情况以及我们找到的治疗这些患者的解决方案。
Conversion of the atriopulmonary Fontan to a total cavopulmonary extracardiac connection with concomitant arrhythmia surgery and pacemaker placement is a safe and efficacious procedure for this patient population. From 1994 to 2007 a total of 118 patients have undergone this procedure with one (0.8%) early and nine (7.6%) late deaths. During the course of our experience with Fontan conversion our surgical strategy has evolved to include various ablative techniques to treat macro re-entrant atrial tachycardia, focal (automatic) atrial tachycardia, atrioventricular nodal reentry tachycardia, atrial tachycardia due to accessory connections, atrial fibrillation, and ventricular tachycardia. The various mechanisms that we use to treat the underlying atrial arrhythmias are described in this review. We have also encountered patients with variations of the Fontan and other complex anatomic and pathophysiologic aberrations who were not amenable to standard takedown and ablative procedures. We describe those circumstances and the solutions we found to treat those patients.
DOI：
10.1016/s0022-5223(95)70245-8
发表时间：
1995-08-01
影响因子：
6
作者：
COX, JL;JAQUISS, RDB;BOINEAU, JP
通讯作者：
BOINEAU, JP