<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5552</journal-id>
<journal-title><![CDATA[Revista Salud Uninorte]]></journal-title>
<abbrev-journal-title><![CDATA[Salud, Barranquilla]]></abbrev-journal-title>
<issn>0120-5552</issn>
<publisher>
<publisher-name><![CDATA[Fundación Universidad del Norte, División de Ciencias de la]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-55522019000100101</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cirugía de Fontan: experiencia a cinco años en un centro de IV nivel]]></article-title>
<article-title xml:lang="en"><![CDATA[Fontan surgery: five years experience in an IV level center]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[AYALA-VILORIA]]></surname>
<given-names><![CDATA[ALFONSO]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[PONCE]]></surname>
<given-names><![CDATA[LUIS]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[BROCHADO]]></surname>
<given-names><![CDATA[DORIAN]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[VELEZ]]></surname>
<given-names><![CDATA[JUAN]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[MOSQUERA]]></surname>
<given-names><![CDATA[WALTER]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Icesi  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Fundación Valle del Lili  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Fundación Valle del Lili  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<fpage>101</fpage>
<lpage>109</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-55522019000100101&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-55522019000100101&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-55522019000100101&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo: Describir la experiencia del servicio de unidad de cardiopatía congénita de la FVL en uso de la cirugía de Fontan, 2011-2016.  Materiales y métodos: Estudio descriptivo observacional de corte histórico (serie de casos). Se analizaron 22 historias clínicas de pacientes con antecedentes de cardiopatías congénitas complejas intervendios por cirugia de Fontan en la Fundación Valle del Lili, entre enero del 2011 y diciembre del 2016.  Resultados: El ventrículo único fisiológico fue la principal causa de la intervención, presentándose en 17 pacientes (77.3%). Dentro de las cirugías paliativas realizadas previas a la cirugía de Fontan se encontró la fístula sistémico-pulmonar (FSP) (73%) y el cerclaje pulmonar (32%), siendo estos en su mayoría procedimientos que se pudieron combinar entre ellos para optimizar la condición clínica, ya que se operaron, en promedio, 3.7 años después del estadio paliativo previo. De las técnicas quirúrgicas, el Fontan extracardíaco fenestrado se realizó en mayor proporción (68%), y seguido del intracardíaco fenestrado (13.6%). El 86% de los pacientes presentaron comorbilidades.  Conclusión: Con una mejor selección de pacientes con fisiología univentricular se logran minimizar complicaciones y la mortalidad asociada al procedimiento quirúrgiico. Se requieren de estudios de seguimiento de los pacientes de la Fundación Valle de Lili para determinar características afines a 10, 20 y 30 años, y equipararlos con los obtenidos en la literatura mundial.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective: To describe the experience of the congenital heart disease unit service of the FVL in the use of Fontan surgery, 2011-2016.  Materials and methods: Observational descriptive study of historical cut (series of cases). We analyzed 22 clinical histories of patients with a history of complex congenital heart disease intervened by Fontan surgery at the Valle del Lili Foundation between January 2011 and December 2016.  Results: The single physiological ventricle was the main cause of the intervention, occurring in 17 patients (77.3%). Among the palliative surgeries performed prior to Fontan surgery, pulmonary systemic fistula (PSF) (73%) and pulmonary cerclage (32%) were found, these mostly being procedures that could be combined to optimize the condition clinic, operating on average 3.7 years after the previous palliative stage. Of the surgical techniques, the fenestrated extracardiac fundus was performed in a greater proportion (68%), and the fenestrated intracardiac fundus (13.6%). 86% of patients presented comorbidities  Conclusion: With a better selection of patients with univentricular physiology, complications and mortality associated with the surgical procedure are minimized. Follow-up studies of the patients of the Valle de Lili Foundation are required to determine characteristics related to 10, 20 and 30 years and to compare them with those obtained in the world literature.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cardiopatías congénitas]]></kwd>
<kwd lng="es"><![CDATA[cirugía de Fontan]]></kwd>
<kwd lng="es"><![CDATA[ventrículo derecho con doble salida]]></kwd>
<kwd lng="es"><![CDATA[ventrículos cardiacos]]></kwd>
<kwd lng="en"><![CDATA[congenital heart disease]]></kwd>
<kwd lng="en"><![CDATA[Fontan surgery]]></kwd>
<kwd lng="en"><![CDATA[right ventricle with double output]]></kwd>
<kwd lng="en"><![CDATA[cardiac ventricles]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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