Fontan Fenestration - Symptoms, Causes and Prevention

Fontan Fenestration in Urdu

فونٹان کے آپریشن کے بعد فینسٹریشن کو بند کرنے کا طریقہ کار کا استعمال کیا جاتا ہے جو بچے کے دل کے سوراخ کو اور پھپھڑوں کے اس راستے کو بند کرتا ہے جو کم آکسیجن والے خون کو پھپھڑوں تک پہنچاتا ہے ۔ یہ طریقہ کار دل کی کیتھرائزیشن لیبارٹری میں انجام پاتا ہے-

یہ طریقہ کار دل کی کیتھدرائزیشن لیبارٹری میں انجام پاتا ہے ۔اس حوالے سے امید کی جاتی ہے کہ بچے کو کچھ پیچیدگیوں کا سامنا کرنا بھی پڑ سکتا ہے
فونٹان طریقہ کار کے نتیجے میں اوپن ہارٹ سرجری کی جاتی ہے ۔ بچے کے دل کو دل اور پھپڑوں والی مشین میں رکھا جاتا ہے جس کی وجہ سے عارضی طور پر دوران خون اور سانس لینے کا عمل متاثر ہو سکتا ہے اس عمل میں تقریبا پانچ گھنٹے لگ سکتے ہیں
اس عمل کے نتیجے میں غیر آکسیجن زدہ خون کو دوران خون سے الگ کیا جاتا ہے ۔ یہ ایک ہائی رسک عمل ہے اور اس کی ناکامی زندگی کو خطرہ سے دوچار کر سکتی ہے لیکن شدید خطرے سے دوجار مریضوں کے لیۓ یہ عمل بہتر ہو سکتا ہے-

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Summary about Fontan Fenestration in English

After a Fontan operation, fenestration closure is a procedure to close the hole between your child's heart and the tunnel that transports oxygen-poor blood from the body to the lungs. The process is carried out in the heart catheterization laboratory.

  • The procedure is carried out in the heart catheterization laboratory. There is a slight chance that your child will experience complications as a result of the process.
  • Because the Fontan procedure necessitates open-heart surgery, your child will be placed on a heart-lung machine, which will temporarily take over blood circulation and breathing. The procedure will take approximately five hours.
  • Fenestration of the Fontan circuit allows deoxygenated blood to be shunted about the systemic circulation. The clinical outcomes of this procedure were a high risk of having a Fontan procedure fail. However, whether fenestration is beneficial for standard-risk patients is debatable

Causes of Fontan Fenestration

  • The Fontan is performed so that almost all of the blue blood returning from the body is directed to the lungs.
  • Most children are much "pinker" after this stage because nearly all of the blood pumped to the body now goes to the lungs first.

Preventive Measures of Fontan Fenestration

For patients who have had a Fontan operation, various "maintenance drug regimens" are used empirically, including the following:

  • No medications.
  • Furosemide.
  • Spironolactone.
  • Angiotensin-converting enzyme
  • Sildenafil.
  • Digoxin.
  • Warfarin (for the first three months after fenestrated Fontan)