149 Fontan Conversions

Carl L. Backer, Constantine Mavroudis

Research output: Contribution to journalArticle

Abstract

Patients with a functionally univentricular heart who have had an atriopulmonary Fontan are at risk for atrial dilatation, atrial arrhythmias, and progressive circulatory failure. Between 1994 and 2018, we performed 149 Fontan conversions with arrhythmia surgery and epicardial pacemaker placement at Ann & Robert H. Lurie Children's Hospital of Chicago. This operation converts the atriopulmonary Fontan to an extracardiac Fontan that improves hemodynamics and controls the atrial arrhythmias. Operative mortality during that time was 2%, and freedom from death or heart transplant at 10 years is 84%. For properly selected patients, Fontan conversion improves both survival and quality of life. Patients with an atriopulmonary Fontan constitute an eroding population, as they face many comorbidities and have a decreased life expectancy without treatment; therefore, all patients with an atriopulmonary Fontan should be evaluated for this procedure.

Original languageEnglish (US)
Pages (from-to)105-110
Number of pages6
JournalMethodist DeBakey cardiovascular journal
Volume15
Issue number2
DOIs
StatePublished - Apr 1 2019

Keywords

  • arrhythmia
  • atrial fibrillation
  • atriopulmonary Fontan
  • congenital heart surgery
  • cryoablation
  • epicardial pacemaker
  • Fontan conversion
  • protein-losing enteropathy
  • tricuspid atresia

ASJC Scopus subject areas

  • Medicine(all)

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