Table 3.
Fenestration (N = 69) Mean ± SD or % |
No Fenestration Detected (N = 458) Mean ± SD or % |
P-Value | |
---|---|---|---|
Age at enrollment, yrs | 10.7±3.3 | 12.0±3.4 | 0.002 |
Age at Fontan, yrs | 3.7±2.3 | 3.4±2.1 | 0.3 |
Years since Fontan | 7.1±3.2 | 8.7±3.5 | <.001 |
Male | 61% | 59% | 0.9 |
Stage II performed | 93% | 80% | 0.005* |
Anatomy | 0.3 | ||
Double Inlet Left Ventricle | 12% | 15% | |
Mitral atresia | 7% | 5% | |
Tricuspid atresia | 13% | 24% | |
Unbalanced Atrioventricular canal | 3% | 4% | |
Heterotaxy | 9% | 7% | |
Hypoplastic left heart syndrome | 26% | 19% | |
Other | 30% | 25% | |
Type of Fontan | 0.001 | ||
AP connection | 0% | 16% | |
TCPC intracardiac tunnel | 80% | 56% | |
TCPC extracardiac tunnel lateral | 9% | 14% | |
TCPC extracardiac conduit | 10% | 13% | |
Other | 1% | 2% | |
Post Fontan Medical History | |||
Weight for age at study, percentile | 29±28 | 35±31 | 0.2 |
Height for age at study, percentile | 36±30 | 42±33 | 0.2 |
Cardiac surgical procedures | 0.3±0.6 | 0.4±1.0 | 0.8* |
Catheter interventions | 0.5±1.2 | 0.5±1.0 | 0.3* |
Stroke | 0% | 2% | 1.0* |
Thrombosis | 4% | 8% | 0.3* |
PLE | 3% | 4% | 1.0* |
Arrhythmia | 21% | 20% | 0.5* |
Functional Health Assessed by Child Health Questionnaire (CHQ50) | |||
Physical Summary Score | 46±10 | 45±12 | 0.4* |
Psychosocial Summary Score | 46±11 | 48±11 | 0.8* |
Echocardiography | |||
Echo EF, % | 58±10 | 59±10 | 0.6* |
Mass:volume ratio z score | 1.2±0.5 | 1.2±0.4 | 0.5* |
dP/dt, mm Hg/s | 1575±1026 | 1374±908 | 0.3* |
Exercise Testing | |||
Resting O2 saturation (%) | 89±5 | 95±4 | <.001* |
Peak VO2 (ml/kg/min) | 25±6 | 27±6 | 0.2* |
% Predicted peak VO2 | 63±14 | 67±15 | 0.1* |
VO2 at VAT (ml/kg/min) | 16±4 | 18±6 | 0.1* |
% Predicted VO2 at VAT | 67±14 | 77±22 | 0.1* |
BNP (pg/ml) | 34±72 | 25±44 | 1.0* |
Age-adjusted comparisons
LV= left ventricle, RV= right ventricle, AP = atriopulmonary, TCPC= total cavopulmonary connection, PLE= protein losing enteropathy, EDV= end diastolic volume, ESV= end systolic volume, EF=ejection fraction, O2= oxygen, VO2= maximal oxygen consumption, VAT= ventilatory anaerobic threshold