Impact of diaphragm paralysis and its surgical interventions on outcomes after the staged Fontan procedure.

ABSTRACT:

Objectives

This study aimed to investigate the incidence of diaphragm paralysis and its impact on outcomes after the Fontan procedure in patients with single ventricles.

Methods

Patients undergoing staged Fontan palliation between 1994 and 2023 were reviewed. Patients who had diaphragm paralysis were identified, and the impact of diaphragm paralysis on outcomes after Fontan completion was evaluated.

Results

Among 601 patients who underwent staged Fontan completion during the study period, diaphragm paralysis was observed in 79 patients (13.1%) before Fontan (33 after stage I palliation and 46 after Glenn) and in 32 patients (5.3%) after the Fontan. Among 111 patients with diaphragm paralysis, 77 had spontaneous recovery, 13 recovered after plication and 21 remained wi

SUBMITTER: Dumitru R 

PROVIDER: S-EPMC11955237 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature