Long-term outcomes of direct total cavopulmonary connection versus extracardiac conduit in Fontan circulation.

• Tác giả: Jimei Chen, Manchen Gao, Linjiang Han, Yinru He, Xiaobing Liu, Jianrui Ma, Tong Tan, Miao Tian, Peijian Wei, Haiyun Yuan, Ziqin Zhou
• Ngôn ngữ: eng
• Ký hiệu phân loại: 133.594 Types or schools of astrology originating in or associated with a
• Thông tin xuất bản: United States : JTCVS techniques , 2025
• Bộ sưu tập: NCBI
• ID: 675449

Tóm tắt

OBJECTIVE: The long-term outcomes of direct total cavopulmonary connection in Fontan circulation have not been reported yet. This study aimed to compare the long-term outcomes of the direct total cavopulmonary connection procedure with the extracardiac conduit procedure in patients undergoing the Fontan. METHODS: From October 2004 to August 2021, 297 patients undergoing the Fontan operation by extracardiac conduit (n = 268) or direct total cavopulmonary connection (n = 29) procedure at our institution were retrospectively reviewed. The propensity score-matching method was used to match the extracardiac conduit and direct total cavopulmonary connection groups in a 1:2 ratio, yielding 23 patients in the direct total cavopulmonary connection group and 40 patients in the extracardiac conduit group. RESULTS: The in-hospital morbidity and mortality were similar between the 2 groups in both prematched and matched cohorts ( CONCLUSIONS: The direct total cavopulmonary connection procedure is a feasible and effective strategy for highly selected Fontan candidates who have well-developed pulmonary arteries of adequate length and size. This approach not only allows for the potential growth of direct total cavopulmonary connection pathways but also demonstrates noninferior short-term and long-term outcomes in contrast to the extracardiac conduit strategy.