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dc.contributor.authorMastalir, Eduardo T.pt_BR
dc.contributor.authorKalil, Renato Abdala Karampt_BR
dc.contributor.authorHorowitz, Estela Suzana Kleimanpt_BR
dc.contributor.authorWender, Orlando Carlos Belmontept_BR
dc.contributor.authorSant'Anna, João Ricardo Michielinpt_BR
dc.contributor.authorPrates, Paulo Roberto Lunardipt_BR
dc.contributor.authorNesralla, Ivo Abrahaopt_BR
dc.date.accessioned2010-04-16T09:11:33Zpt_BR
dc.date.issued2002pt_BR
dc.identifier.issn0066-782Xpt_BR
dc.identifier.urihttp://hdl.handle.net/10183/19775pt_BR
dc.description.abstractObjective - Evaluation of the long-term clinical results of the Fontan operation in patients with tricuspid atresia. Methods - A retrospective analysis was made at the Instituto de Cardiologia do Rio Grande do Sul (Institute of Cardiology of Rio Grande do Sul), from August 1980 through January 2000, of 25 patients with a long-term follow-up, out of a series of 36 patients who underwent the Fontan operation or one of its variants due to tricuspid atresia. Their mean age at surgery was 5.4±3.1 years, and their mean weight was 15.8±6.1 kg, the majority of them (63.9%) being males. Four patients underwent the classical Fontan operation, 12 the Kreutzer variant, 6 the Björk variant, 9 total cavopulmonary shunt with a fenestrated tube, and 5 total cavopulmonary shunt with a nonfenestrated tube. Results - The patients were followed-up on an outpatient basis, with a mean long-term survival time of 5.5±4.2 years (50 days to 17.8 years) and a late mortality rate of 8%. Arterial saturation increased from 77.2±18.8% in the preoperative period to 91±6.7% upon the last outpatient visit (p>0.05). At the final check, most (67%) patients were asymptomatic and 87% could tolerate exercise. Ten (40%) patients experienced some kind of complication during the long-term follow-up, such as cardiac arrhythmia, cyanosis, protein-losing enteropathy, neurological events, right heart failure, intolerance to exercise and reoperation. Conclusion - The results indicate that, once the immediate postoperative period is over, during which the adaptations to the new circulatory physiology occur, the evolution of patients with tricuspid atresia who underwent the Fontan operation is satisfactory, in spite of a low, yet significant, morbidity.en
dc.format.mimetypeapplication/pdf
dc.language.isoporpt_BR
dc.relation.ispartofArquivos brasileiros de cardiologia. Vol. 79, n. 1 (jul. 2002), p. 51-56pt_BR
dc.rightsOpen Accessen
dc.subjectFontanen
dc.subjectTécnica de Fontanpt_BR
dc.subjectTricuspid atresiaen
dc.subjectAtresia tricúspidept_BR
dc.subjectPonte cardiopulmonarpt_BR
dc.subjectCavopulmonary shunten
dc.titleDesfechos clínicos tardios da cirurgia de Fontan em pacientes com atresia tricúspidept_BR
dc.title.alternativeLate clinical outcomes of the Fontan operation in patients with tricuspid atresia en
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb000408606pt_BR
dc.type.originNacionalpt_BR


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