Fontan Fenestration:To do or not to do?

Описание: Leaving a fenestration in the interatrial septum during a Fontan repair is useful in relieving the central venous congestion when pulmonary blood flow is driven by venous pressure in Fontan repair. Interestingly placement of fenestration was associated with center and Fontan type – whether it was lateral tunnel or extra cardiac in a recent study. Shorter length of hospital stay after Fontan repair was noted in those who received a fenestration. They noted that benefit was more pronounced if mean pulmonary arterial pressure was 13 mm Hg or more, as expected.
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