Why the study?
Does the extracardiac Fontan operation reduce postoperative arrhythmias compared to the intra-atrial lateral tunnel in patients undergoing the Fontan operation?
Population
47 consecutive patients who underwent successful Fontan operations between 5/93 and 10/98
Comparison
Extracardiac Fontan operation (ECFO) (n=24) vs Intra-atrial lateral tunnel Fontan operation
Design
Cohort
Follow-up
Median 2.4 years for ECFO and 4.5 years for LTFO
Authors
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Supports ECFO to reduce arrhythmia burden in Fontan patients; leaves open definitive superiority pending randomized data.
Does the extracardiac Fontan operation reduce postoperative arrhythmias compared to the intra-atrial lateral tunnel in patients undergoing the Fontan operation?
The extracardiac Fontan operation significantly decreases the incidence of early and medium-term postoperative arrhythmias and the need for pacemaker insertion compared to the lateral tunnel technique.
Ovroutski et al. (2001) studied this question.
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