Journal article

Long-term outcomes following Fontan takedown in Australia and New Zealand

Supreet P Marathe, Ajay J Iyengar, Kim S Betts, Karin du Plessis, Gananjay G Salve, Robert N Justo, Prem Venugopal, David S Winlaw, Yves d'Udekem, Nelson Alphonso

Journal of Thoracic and Cardiovascular Surgery | MOSBY-ELSEVIER | Published : 2021

Abstract

OBJECTIVE: Fontan takedown remains an option for the management of Fontan failure. We sought to evaluate early and late outcomes after Fontan takedown. METHODS: The Australia and New Zealand Fontan Registry was interrogated to identify all patients who had a Fontan takedown. RESULTS: Over a 43-year study period (1975-2018), 36 of 1540 (2.3%) had a Fontan takedown. The median age at takedown was 5.1 years (interquartile range [IQR], 3.7, 7.0). Nine (25%) patients had a takedown within 48 hours, 6 (16%) between 2 days and 3 weeks, 14 (39%) between 3 weeks and 6 months, whereas 7 (19%) had a late takedown (>6 months). Median interval to takedown was 26 days (IQR, 1.5, 127.5). Sixteen (44%) pati..

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