Journal article

Twenty-Five Year Outcomes of the Lateral Tunnel Fontan Procedure

Thomas G Wilson, William Y Shi, Ajay J Iyengar, David S Winlaw, Rachael L Cordina, Gavin R Wheaton, Andrew Bullock, Thomas L Gentles, Robert G Weintraub, Robert N Justo, Leeanne E Grigg, Dorothy J Radford, Yves d'Udekem



The objective of this study was to characterize late outcomes of the lateral tunnel (LT) Fontan procedure. The outcomes of all patients who underwent an LT Fontan procedure in Australia and in New Zealand were analyzed. Original files were reviewed and outcomes data were obtained through a binational registry. Between 1980 and 2014, a total of 301 patients underwent an LT Fontan procedure across 6 major centers. There were 13 hospital mortalities, 21 late deaths, 8 Fontan conversions and revisions, 8 Fontan takedowns, and 4 heart transplantations. Overall survival at 15 and 25 years was 90% (95% confidence interval [CI]: 86%-93%) and 80% (95% CI: 69%-91%), respectively. Protein-losing entero..

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Awarded by National Health and Medical Research Council (NHMRC)

Funding Acknowledgements

The Australia and New Zealand Fontan Registry is funded by grants from the National Health and Medical Research Council (NHMRC; Project Grants 1012241, 1047923, and 1065794). Dr William Shi is supported by the Royal Australasian College of Surgeons Foundation for Surgery Peter King/Heart Foundation Research Scholarship in addition to the University of Melbourne Viola Edith Reid and the RG and AU Meade Scholarships. Yves d'Udekem is an NHMRC Clinician Practitioner Fellow (1082186). The Victorian Government's Operational Infrastructure Support Program supported this research project.Yves d'Udekem is a consultant for MSD and Actelion. Andrew Bullock reports receiving consulting fees from Actelion. All the other authors have no commercial interests to disclose.