<?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>1405-9940</journal-id>
<journal-title><![CDATA[Archivos de cardiología de México]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Cardiol. Méx.]]></abbrev-journal-title>
<issn>1405-9940</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Cardiología Ignacio Chávez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-99402016000100001</article-id>
<article-id pub-id-type="doi">10.1016/j.acmx.2015.12.001</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Comparación de pacientes sometidos a cirugía de Fontan con y sin derivación cardiopulmonar]]></article-title>
<article-title xml:lang="en"><![CDATA[Comparison between patients undergoing Fontan operation with or without cardiopulmonary bypass]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz-Vázquez]]></surname>
<given-names><![CDATA[Marlo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinoza-Blanco]]></surname>
<given-names><![CDATA[Osbaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-Marroquín]]></surname>
<given-names><![CDATA[Samuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calderón-Colmenero]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Montes]]></surname>
<given-names><![CDATA[Jose Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cervantes-Salazar]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,UNAM Facultad de Medicina División de estudios de posgrado]]></institution>
<addr-line><![CDATA[México D.F.]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<volume>86</volume>
<numero>1</numero>
<fpage>1</fpage>
<lpage>10</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-99402016000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-99402016000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-99402016000100001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La cirugía de Fontan es la etapa final de la paliación en pacientes cardiópatas congénitos con fisiología univentricular. La circulación extracorpórea (CEC) afecta negativamente la función ventricular e incrementa la presión pulmonar en el postoperatorio. Se presume que la cirugía de Fontan sin CEC reduce la morbilidad a corto plazo, así como la estancia intrahospitalaria.  Objetivo: Comparar los resultados obtenidos en pacientes operados de Fontan con y sin CEC.  Método: Estudio retrospectivo de pacientes operados de Fontan de enero 2008 a diciembre 2012. Se hizo la distribución por grupos de acuerdo al uso de CEC y se realizó el análisis comparativo.  Resultados: Se operaron 10 pacientes sin CEC. El perfil preoperatorio mostró una discrepancia en la edad promedio, siendo menor para el grupo sin CEC. Alrededor del 80% de los pacientes en ambos grupos presentaban algún tipo de paliación previa. En la mitad de los casos se utilizó un injerto de 18 mm; todos los injertos se fenestraron. La estancia intrahospitalaria fue similar en ambos grupos, hubo un menor requerimiento de inodilatadores, vasopresores y óxido nítrico en el grupo sin CEC. No hubo decesos en los pacientes operados sin CEC. Al seguimiento, la mayoría de los pacientes se encontraban en clase funcional I.  Conclusiones: En nuestra experiencia la técnica sin CEC ofrece resultados similares a corto y mediano plazo comparada con la técnica convencional.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Fontan operation is the final palliative stage of patients with univentricular hearts. Cardiopulmonary bypass (CPB) decreases ventricular performance and increases pulmonary artery pressures in the post operative recovery period. It seems that Fontan operation performed without CPB decreases short term morbidity and intra hospitalary length of stay.  Objetive: Compare outcome in Fontan patients who have undergone surgery with or without CPB.  Method: This is a retrospective review of patients undergoing Fontan operation from january 2009 to december 2012. Patients were grouped according to CPB use and comparative analyses were done.  Results: Ten patients were operated without CPB use. There was a discrepancy between age in both groups, being younger in the no CPB group. Around 80% of patients in both groups had a staged procedure. A 18 mm graft was used in half of the cases; a fenestration was created in all cases. Length of stay was equal in both groups, there was less need of pharmacologic support and nitric oxide use in patients without CPB use. No deaths were reported also in this group. At folllow up, most patients had a class I functional status.  Conclusions: In our experience, Fontan operation without CPB has similar outcomes compared with CPB use]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fontan]]></kwd>
<kwd lng="es"><![CDATA[Univentricular]]></kwd>
<kwd lng="es"><![CDATA[Congénitos]]></kwd>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="en"><![CDATA[Fontan]]></kwd>
<kwd lng="en"><![CDATA[Univentricular]]></kwd>
<kwd lng="en"><![CDATA[Congenital]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
</kwd-group>
</article-meta>
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