PMID- 30785577
OWN - NLM
STAT- MEDLINE
DCOM- 20200122
LR  - 20200309
IS  - 1678-4170 (Electronic)
IS  - 0066-782X (Print)
IS  - 0066-782X (Linking)
VI  - 112
IP  - 2
DP  - 2019 Feb
TI  - Outcomes of the Conversion of the Fontan-Kreutzer Operation to a Total 
      Cavopulmonary Connection for the Failing Univentricular Circulation.
PG  - 130-135
LID - S0066-782X2019000200130 [pii]
LID - 10.5935/abc.20180256 [doi]
AB  - BACKGROUND: The Fontan-Kreutzer procedure (FK) was widely performed in the past, 
      but in the long-term generated many complications resulting in univentricular 
      circulation failure. The conversion to total cavopulmonary connection (TCPC) is 
      one of the options for treatment. OBJECTIVE: To evaluate the results of 
      conversion from FK to TCPC. METHODS: A retrospective review of medical records 
      for patients who underwent the conversion of FK to TCPC in the period of 1985 to 
      2016. Significance p < 0,05. RESULTS: Fontan-type operations were performed in 
      420 patients during this period: TCPC was performed in 320, lateral tunnel 
      technique in 82, and FK in 18. Ten cases from the FK group were elected to 
      conversion to TCPC. All patients submitted to Fontan Conversion were included in 
      this study. In nine patients the indication was due to uncontrolled arrhythmia 
      and in one, due to protein-losing enteropathy. Death was observed in the first 
      two cases. The average intensive care unit (ICU) length of stay (LOS) was 13 
      days, and the average hospital LOS was 37 days. A functional class by New York 
      Heart Association (NYHA) improvement was observed in 80% of the patients in NYHA 
      I or II. Fifty-seven percent of conversions due to arrhythmias had improvement of 
      arrhythmias; four cases are cured. CONCLUSIONS: The conversion is a complex 
      procedure and requires an experienced tertiary hospital to be performed. The 
      conversion has improved the NYHA functional class despite an unsatisfactory 
      resolution of the arrhythmia.
FAU - Fernandes, Gabriel Carmona
AU  - Fernandes GC
AUID- ORCID: 0000-0003-2461-6320
AD  - Instituto do Coracao (InCor) - Hospital das Clinicas da Faculdade de Medicina da 
      Universidade de Sao Paulo (HCFMUSP), Sao Paulo, SP - Brazil.
FAU - Silva, Guilherme Viotto Rodrigues da
AU  - Silva GVRD
AD  - Instituto do Coracao (InCor) - Hospital das Clinicas da Faculdade de Medicina da 
      Universidade de Sao Paulo (HCFMUSP), Sao Paulo, SP - Brazil.
FAU - Caneo, Luiz Fernando
AU  - Caneo LF
AD  - Instituto do Coracao (InCor) - Hospital das Clinicas da Faculdade de Medicina da 
      Universidade de Sao Paulo (HCFMUSP), Sao Paulo, SP - Brazil.
FAU - Tanamati, Carla
AU  - Tanamati C
AD  - Instituto do Coracao (InCor) - Hospital das Clinicas da Faculdade de Medicina da 
      Universidade de Sao Paulo (HCFMUSP), Sao Paulo, SP - Brazil.
FAU - Turquetto, Aida Luiza Ribeiro
AU  - Turquetto ALR
AD  - Instituto do Coracao (InCor) - Hospital das Clinicas da Faculdade de Medicina da 
      Universidade de Sao Paulo (HCFMUSP), Sao Paulo, SP - Brazil.
FAU - Jatene, Marcelo Biscegli
AU  - Jatene MB
AD  - Instituto do Coracao (InCor) - Hospital das Clinicas da Faculdade de Medicina da 
      Universidade de Sao Paulo (HCFMUSP), Sao Paulo, SP - Brazil.
LA  - eng
LA  - por
PT  - Journal Article
PL  - Brazil
TA  - Arq Bras Cardiol
JT  - Arquivos brasileiros de cardiologia
JID - 0421031
SB  - IM
CIN - Arq Bras Cardiol. 2019 Feb;112(2):136-137. PMID: 30785578
MH  - Adolescent
MH  - Adult
MH  - Arrhythmias, Cardiac/mortality/surgery
MH  - Child
MH  - Coronary Circulation
MH  - Female
MH  - Fontan Procedure/adverse effects/*methods/mortality
MH  - Heart Bypass, Right/*methods/mortality
MH  - Heart Failure/mortality/*surgery
MH  - Humans
MH  - Kaplan-Meier Estimate
MH  - Length of Stay
MH  - Male
MH  - Retrospective Studies
MH  - Statistics, Nonparametric
MH  - Time Factors
MH  - Treatment Outcome
MH  - Univentricular Heart/mortality/*surgery
MH  - Young Adult
PMC - PMC6371826
COIS- Potential Conflict of Interest No potential conflict of interest relevant to this 
      article was reported.
EDAT- 2019/02/21 06:00
MHDA- 2020/01/23 06:00
PMCR- 2019/02/01
CRDT- 2019/02/21 06:00
PHST- 2018/03/20 00:00 [received]
PHST- 2018/07/23 00:00 [accepted]
PHST- 2019/02/21 06:00 [entrez]
PHST- 2019/02/21 06:00 [pubmed]
PHST- 2020/01/23 06:00 [medline]
PHST- 2019/02/01 00:00 [pmc-release]
AID - S0066-782X2019000200130 [pii]
AID - 10.5935/abc.20180256 [doi]
PST - ppublish
SO  - Arq Bras Cardiol. 2019 Feb;112(2):130-135. doi: 10.5935/abc.20180256.