Boston - American Association for Thoracic Surgery

89 TH ANNUAL MEETING MAY 9–MAY 13, 2009BOSTON, MASSACHUSETTSTable 1: Fenestration Utilization and OutcomesYear 2002 2003 2004 2005 2006 2007 2008 TotalTotal Fontan 16 31 27 39 40 40 16 209casesFenestrated * 14 (87) 20 (65) 12 (44) 18 (46) 14 (35) 14 (35) 0 (0) 92 (44)N (%)ICU LOS 4.3 (4.8) 2.7 (1.8) 3.6 (6.6) 4.4 (6.5) 3.4 (3.2) 3.5 (3.4) 2.8 (3.0) 3.5 (4.5)mean (s.d.)Hospital 11.8 (9.8) 8.4 (3.9) 11.7 (7.8) 12.3 (11.9) 10.6 (6.5) 11.3 (12.4) 9.6 (3.4) 10.9 (9.0)LOS mean (s.d)Early Mortality 0 (0) 1 (3.2) 1 (3.7) 1 (2.6) 0 (0) 0 (0) 0 (0) 3 (1.4)N (%)*p < .05 for decreased fenestration rate LOS = length of stay (days)CONCLUSION: Highly selective use of fenestration in patients undergoing Fontanpalliation achieves excellent results with no increase in surgical morbidity ormortality, irrespective of anatomic subtype. The potential hypoxia, systemic embolism,and need for later instrumentation that accompany fenestration can beavoided in most patients.5:00 p.m. ADJOURN120