Yu Hongyun,Gu Xiaorong,Guan Yongmei..Related factors and interventions for complications after Fontan operation[J].Journal of Clinical Pediatric Surgery,,17():684-687.
Related factors and interventions for complications after Fontan operation
- Keywords:
- Fontan procedure; Complication; Related factors; Intervention
- Document code:
- A
- Abstract:
- Objective To explore the related factors and interventions for complications after Fontan operation. Methods A total of 47 children with complications after Fontan operation were analyzed retrospectively from January 2014 to January 2016. And related factors and interventions were analyzed. Results Among 20 cases of arrhythmia with low cardiac output, intracardiac (n=13) and extracardiac (n=7) conduit Fontan operations were performed. There were also hyoxemia (n=7), pleural effusion (n=11), abnormal renal function (n=6), abnormal hepatorenal function (n=2), cerebral complications (n=1) and ventricular fibrillation (n=2). The morality rate was 4.26%. The time of mechanical ventilation was 2 to 160 h, the length of pleural drainage 4 to 28 days and the duration of ICU (intensive care unit) 3 to 12 days. Conclusion Fontan operation has been widely applied for complicated congenital heart disease. Postoperative complications may prolong the recovery time and even cause death. Effective preventive and interventional measures are needed.
References:
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