Journal article

Impact of Fontan Fenestration on Long-Term Outcomes: A Propensity Score–Matched Analysis

M Daley, E Buratto, G King, L Grigg, A Iyengar, N Alphonso, A Bullock, DS Celermajer, J Ayer, T Robertson, Y D’udekem, IE Konstantinov

Journal of the American Heart Association | WILEY | Published : 2022

Abstract

BACKGROUND: The long-term impact of fenestration at the time of Fontan operation remains unclear. We aimed to review the early and long-term impact of Fontan fenestration in the Australia and New Zealand cohort. METHODS AND RESULTS: We reviewed 1443 patients (621 fenestrated, 822 nonfenestrated) from the Australia and New Zealand Fontan registry. Data were collected on preoperative demographics, operative details, and follow-up. Propensity-score matching was performed to account for the various preoperative and operative differences and risk factors. Primary outcomes were survival and freedom from failure. Median follow-up was 10.6 years. After propensity-score matching (407 matched pairs), ..

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