| Title |
The Fontan Operation: The Pursuit of Associated Lesions and Cumulative Trauma
|
|---|---|
| Published in |
Pediatric Cardiology, April 2011
|
| DOI | 10.1007/s00246-011-9973-0 |
| Pubmed ID | |
| Authors |
Robert L. Hannan, Jennifer A. Zabinsky, Jane L. Salvaggio, Anthony F. Rossi, Danyal M. Khan, Francisco A. Alonso, Jorge W. Ojito, David G. Nykanen, Evan M. Zahn, Redmond P. Burke |
| Abstract |
Our programmatic approach to the Fontan operation has evolved to include using an extracardiac conduit with aggressive presumptive treatment of associated lesions either in the catheterization laboratory or the operating room. Fenestration is used selectively based on hemodynamics, anatomy, and presence of associated lesions. We reviewed our experience to determine the effectiveness and outcome of this strategy and to assess the cumulative trauma to the patients. The records of 137 consecutive patients who underwent Fontan at Miami Children's Hospital from 1995 to 2008 were reviewed. At mean follow up of 5.76 years, freedom from death or transplantation is 94.2% (129/137). Median age at operation was 4.6 years. Longer length of stay correlated with older operative age (P = 0.0056). Pacemakers were implanted in 11.7% (16/137). Additional (not pre-Glenn or pre-Fontan) interventional catheterizations were performed in 51.8% (71/137). Additional operations were done in 10.2% (14/137). No patient has required replacement or revision of the extracardiac conduit. Our current approach to the Fontan operation provides acceptable midterm results. The pursuit of residual lesions results in a significant number of additional interventional catheterizations and operative procedures but might have an important influence on long-term survival after the Fontan procedure. |
Mendeley readers
The data shown below were compiled from readership statistics for 22 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 22 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 5 | 23% |
| Student > Ph. D. Student | 3 | 14% |
| Lecturer > Senior Lecturer | 2 | 9% |
| Student > Bachelor | 2 | 9% |
| Student > Doctoral Student | 1 | 5% |
| Other | 6 | 27% |
| Unknown | 3 | 14% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 12 | 55% |
| Psychology | 3 | 14% |
| Agricultural and Biological Sciences | 2 | 9% |
| Unspecified | 1 | 5% |
| Nursing and Health Professions | 1 | 5% |
| Other | 1 | 5% |
| Unknown | 2 | 9% |
Attention Score in Context
This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 February 2012.
All research outputs
#7,454,298
of 22,789,076 outputs
Outputs from Pediatric Cardiology
#274
of 1,413 outputs
Outputs of similar age
#39,938
of 108,996 outputs
Outputs of similar age from Pediatric Cardiology
#4
of 11 outputs
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So far Altmetric has tracked 1,413 research outputs from this source. They receive a mean Attention Score of 2.7. This one has gotten more attention than average, scoring higher than 67% of its peers.
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