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Modified extracardiac Fontan with a fenestrated pericardial patch.

Research paper by Alvise A Guariento, Nicola N Pradegan, Biagio B Castaldi, Claudia C Cattapan, Viktoria V Weixler, David D Blitzer, Vladimiro L VL Vida

Indexed on: 24 May '20Published on: 24 May '20Published in: Journal of Cardiac Surgery



Abstract

Extracardiac Fontan is a preferred treatment strategy in many centers treating patients with single ventricle physiology, and many of these centers regularly include a fenestration between the extracardiac conduit and the common atrium. Spontaneous closure of the fenestration is a common complication of this technique and is independently associated with increased morbidity and mortality. Recently, we introduced a novel technique for fenestration of the extracardiac conduit wherein a pericardial patch is utilized at the fenestration point with excellent outcomes in the midterm fenestration patency rates, thus reducing the risk of acute post-Fontan complications. © 2020 Wiley Periodicals, Inc.