Aortopulmonary collateral vessels and prolonged pleural effusions after modified Fontan procedures

Robert L. Spicer, Karen C. Uzark, John W. Moore, Richard D. Mainwaring, John J. Lamberti

Research output: Contribution to journalArticlepeer-review

93 Scopus citations


Pleural effusions after the modified Fontan procedure are unpredictable, increase morbidity, and prolong hospital stay. To assess the relation between preoperative characteristics and postoperative pleural drainage, we performed a retrospective study of 71 patients who underwent Fortran procedures. Analyses revealed no significant relation between duration of effusion and age at Fontan, preoperative oxygen saturation, pulmonary artery pressure, ventricular end-diastolic pressure, type of Fontan, or prior cavopulmonary anastomosis. Patients with significant aortopulmonary collateral vessels evidenced by angiographic opacification of the pulmonary arteries or veins had more prolonged pleural drainage. The duration of the pleural drainage was significantly less in patients who had aortopulmonary collateral occlusion.

Original languageEnglish (US)
Pages (from-to)1164-1168
Number of pages5
JournalAmerican Heart Journal
Issue number6
StatePublished - 1996

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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