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Review
. 2020 Jan 7;9(1):e013691.
doi: 10.1161/JAHA.119.013691. Epub 2019 Dec 19.

Fontan Circulation of the Next Generation: Why It's Necessary, What it Might Look Like

Shelby Kutty  1 , Marshall L Jacobs  1 , W Reid Thompson  1 , David A Danford  2
Affiliations
Review

Fontan Circulation of the Next Generation: Why It's Necessary, What it Might Look Like

Shelby Kutty et al. J Am Heart Assoc. .
No abstract available

Keywords: Fontan procedure; heart failure; outcome and process assessment; outcomes research.

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Figures

Figure 1
Figure 1
Survival and cumulative incidence of outcomes after Fontan. Kaplan‐Meier survival estimate for composite outcome overlaid with cumulative hazard rates for death, transplant, and Fontan takedown. Reprinted from Downing et al20 with permission. Copyright ©2017, Elsevier.
Figure 2
Figure 2
Impact of surgical era on transplant free survival. Kaplan–Meier survival estimate stratified by era of Fontan: (A) all patients, and (B) conditional on survival to 1 year with intact Fontan circulation. Reprinted from Downing et al20 with permission. Copyright ©2017, Elsevier.
See this image and copyright information in PMC

References

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    1. Fontan F, Baudet E. Surgical repair of tricuspid atresia. Thorax. 1971;26:240–248. - PMC - PubMed
    1. de Leval MR, Kilner P, Gewillig M, Bull C. Total cavopulmonary connection: a logical alternative to atriopulmonary connection for complex Fontan operations. Experimental studies and early clinical experience. J Thorac Cardiovasc Surg. 1988;96:682–695. - PubMed
    1. Fontan F, Kirklin JW, Fernandez G, Costa F, Naftel DC, Tritto F, Blackstone EH. Outcome after a “perfect” Fontan operation. Circulation. 1990;81:1520–1536. - PubMed
    1. Bridges ND, Jonas RA, Mayer JE, Flanagan MF, Keane JF, Castaneda AR. Bidirectional cavopulmonary anastomosis as interim palliation for high‐risk Fontan candidates. Early results. Circulation. 1990;82:IV170–IV176. - PubMed

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