Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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The Extracardiac Fontan Operation in Adult -A case report-

성인에서의 심외도관 Fontan 수술 - 1예 보고 -

  • Published : 2004.01.01
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Abstract

The Fontan operation is commonly practiced for the physiologic correction of univentricular heart diseases. However, for the patients who have risk factors against this operation, it is recommended to take the initial palliative operation rather than going to the Fontan operation at once. The proper timing to the Fontan operation after palliation is decided by assessing several factors such as patient's age and other risks of maintaining palliative state, etc. Usually, the Fontan operation is done relatively early after palliation stage. Here, we report a 36 years old-adult-female with univentricular heart disease who underwent the successful Fontan operation at 17 years after unidirectional Glenn procedure.

단심실성 심장기형의 교정방법으로 Fontan 수술이 행해지지만 이 수술의 위험요소를 가진 대상군에서는 고식적 수술을 시행한 후 단계적으로 Fontan 수술을 시행하는 것이 보편적이다. Fontan 수술의 시기는 고식적 수술 후 감소한 수술 위험요소와 고식적 수슬상태의 지속에 의하여 증가하는 위험 요소를 재평가한 후 결정되며, 고식술 후 비교적 조기에 시행되는 것이 보통이다. 국립의료원에서는 36세 성인 단심실증 환자에서 과거에 단방향성 Glenn 수술을 시행하고 17년 후에 완전 Fontan 수술로 전환한 증례가 있어 보고하고자 한다.

Keywords

References

  1. Korean J Torac Cardiovasc Surg v.25 Bidirectional cavopulmonary shunt operation as palliation or pre-fontan stage operation Han,J.J.;Rha,C.Y.;Soh,D.M.(et al.)
  2. Korean J Thorac Cardiavasc Surg v.30 Staged fontan operation via biderectional Glenn operation Han.J.J.;Kim,W.H.;Chung,C.H.(et al.)
  3. Ann Thorac Surg v.63 The fontan Procedure in adults Gates,R.N.;Laks,H.;Drinkwater,D.C.(et al.) https://doi.org/10.1016/S0003-4975(96)01256-8
  4. Am J Cardiol v.61 Results of the modified Fontan operation in adults Humes,R.A.;Mair,D.D.;Porter,C.J.(et al.) https://doi.org/10.1016/0002-9149(88)90772-2
  5. J Am Coll Cardiol v.119A The Fontan procedure in adults: operative and late results with 121 patients [abstract] Mair,D.D.;Dinielson,G.K.;Schaff,H.V.(et al.)
  6. Korean J Thorac Cardiovasc Surg v.31 Early results of extracardiac fontan operation Kim,W.H.;Chung,D.H.;Kim,S.C.(et al.)
  7. J Thorac Cardiovasc Surg v.114 Extracardiac fontan operation for complex cardiac anomalies: seven years' experience Amodeo,A.;Galletti,L.;Marianeschi,S.(et al) https://doi.org/10.1016/S0022-5223(97)70016-3
  8. Korean J Thorac Cardiovasc Surg v.35 Early and midterm results of the extracardiac fantan operation and the charge of internal diameter of the conduit Sung,S.C.;Kim,S.H.