Author + information
- Christoph Hallera,b,
- Susan L. Rochea,b,
- Rachel Walda,b,
- Simone Bartelsea,b,
- Eric Pham-Hunga,b,
- Candice Silversidesa,b,
- Erwin Oechslina,b,
- Jack Colmana,b and
- Edward Hickeya,b
Background: Do adult Fontans with RV-dominant single ventricle physiology (RV) have worse prognosis versus patients with LV-dominance (LV) or unseptated ventricles?
Methods: 180 adult Fontans (median age 25) were reviewed. Endpoints relating to Fontan failure and exercise capacity were compared. Additional comparisons used propensity-matched pairs near-identical by diagnosis, age and era. Risk-adjustment was via parametric models.
Results: A: RV (N=54) versus LV and unseptated ventricles (N=103 and 23 respectively).
B1: Matched pairs: 51 RV versus 51 LV.
B2: Of the 23 HLHS patients, 16 were matched against 16 LV.
Conclusions: Young adults with RV-dominant Fontans have comparable rates of late complications during early adulthood. Worse function and valve regurgitation is concerning for the longer term.
Poster Hall, Hall C
Sunday, March 19, 2017, 9:45 a.m.-10:30 a.m.
Session Title: Redefining the “F” Word
Abstract Category: 9. Congenital Heart Disease: Adult
Presentation Number: 1270-014
- 2017 American College of Cardiology Foundation