Results of XXXX to right ventricular and right @entity358 for complex congenital heart disease.

@entity1 @entity66 @entity1145 @entity358 @entity1146 @entity4032 @entity204
The Fontan procedure was initially proposed for @entity1145 ( @entity1145 ). We describe our experience with modifications of this operation and its application to previously uncorrectable @entity66 . From 1975 to 1979, 26 @entity1 have undergone a Fontan-like procedure, at a mean age of 14 years (range: 3 months to 23 years). Nineteen @entity1 had @entity1145 , one @entity1 had mitral @entity1146 , four @entity1 had a univentricular heart, one @entity1 had a "criss-cross" heart, and one @entity1 had @entity1146 . Previous procedures included eight Glenn shunts, 18 @entity358 (PA) shunts, two PA bands, and two atrial septectomies. Thirteen @entity1 underwent @entity4032 ( @entity4032 ) to PA connections, with a valved conduit in nine @entity1 and without in four. Two @entity1 had simultaneous Glenn shunts. Thirteen had @entity4032 to right ventricular (RV) conduits, with a valve in 12 @entity1 and without in one. There were five early @entity204 (<30 days, 19%) and no significant difference between the @entity4032 to PA connection (four @entity204 of 13) versus the @entity4032 to RV connection (one death of 13). The mortality rate was higher in @entity1 undergoing @entity4032 to PA connection without valved conduit (one death of nine with a valve, three @entity204 of four without, p < 0.05), while the Glenn shunt did not affect mortality (one death of seven with, three of six without, p < 0.1). There were no late @entity204 (mean follow-up: 24 months). Seven @entity1 underwent recatheterization with a mean @entity4032 pressure of 14 mmHg (range: 9--25 mmHg). Thus, the "Fontan" procedure can be done with an acceptably low mortality with good functional results, both for @entity1145 and other complex lesions.
