日本小児循環器学会雑誌 Pediatric Cardiology and Cardiac Surgery

Online ISSN: 2187-2988 Print ISSN: 0911-1794
特定非営利活動法人日本小児循環器学会 Japanese Society of Pediatric Cardiology and Cardiac Surgery
〒162-0801東京都新宿区山吹町358-5アカデミーセンター Japanese Society of Pediatric Cardiology and Cardiac Surgery Academy Center, 358-5 Yamabuki-cho, Shinju-ku, Tokyo 162-0801, Japan
Pediatric Cardiology and Cardiac Surgery 33(5): 362-370 (2017)
doi:10.9794/jspccs.33.362

ReviewReview

Fontan手術の遠隔成績と再介入Long-term Results and Re-intervention after the Fontan Operation

福岡市立こども病院心臓血管外科Department of Cardiovascular Surgery, Fukuoka Children’s Hospital ◇ Fukuoka, Japan

発行日:2017年9月1日Published: September 1, 2017
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術式の改良と周術期管理法の進歩でFontan手術の成績は大きく改善し,術後患者の多くが成人領域に達している近年,Fontan循環特有の遠隔期合併症の発生や心室機能障害,運動耐容能の低下などFontan術後患者のQOLを低下させる要因が明らかにされ大きな注目を集めている.多くの因子がFontan循環を破綻させる危険性を持っており,良好なFontan循環を維持するためには綿密な内科的治療の継続に加え,病態に応じた適切なカテーテル治療および外科的治療の再介入が必要である.

The surgical outcome of the Fontan operation has improved with refinements of the surgical technique and advances in perioperative management. As a large number of patients survive to adult after the surgery, the factors responsible for deterioration of patient quality of life have become important concerns. To maintain a sufficient Fontan circulation, catheterization or surgical re-intervention must be considered at the appropriate time together with meticulous follow-up and medical treatment.

Key words: Fontan; late outcome; complication; re-intervention; Fontan failure

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This page was last modified on 2017-10-31T17:02:49.697+09:00


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