Results 181 to 190 of about 24,073 (224)
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Journal of Cardiac Surgery, 1988
Right atrial-pulmonary artery connection places the pulmonary circulation in series with the systemic circulation rather than the single ventricular "parallel" circulatory arrangement that usually is present prior to repair. The accompanying central cardiac shunt and volume overload physiology are eliminated. Favorable changes in ventricular dimension,
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Right atrial-pulmonary artery connection places the pulmonary circulation in series with the systemic circulation rather than the single ventricular "parallel" circulatory arrangement that usually is present prior to repair. The accompanying central cardiac shunt and volume overload physiology are eliminated. Favorable changes in ventricular dimension,
openaire +2 more sources
Compression of an Extracardiac Fontan Following Classic Fontan Revision
Journal of Cardiac Surgery, 2004The extracardiac Fontan arose as an alternative in order to prevent the classical procedure's sequelea. Complications of the extracardiac Fontan have been described, but this case report aims to highlight the devastating and infrequent complication of external conduit compression.A 25-year-old male underwent Fontan conversion to extracardiac Fontan for
Jefferson M, Lyons +3 more
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The Adult Patient with a Fontan
Cardiology Clinics, 2020The authors summarize the most important anatomic and physiologic substrates of Fontan circulation. Common anatomic substrates include hypoplastic left heart syndrome, tricuspid atresia, double inlet left ventricle, and unbalanced atrioventricular septal defects. After the Fontan operation exercise capacity is limited and the key hemodynamic drivers is
Ahmed, AlZahrani +5 more
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Fontan with pedicled pericardium
The Japanese Journal of Thoracic and Cardiovascular Surgery, 1999Pedicled pericardium is a useful viable material for cardiac surgery. In an adolescent case, the extracardiac lateral tunnel of a Fontan connection was successfully constructed with pedicled pericardium. This procedure is expected to allow the growth of the tunnel and to need no anti-coagulant therapy, while careful long-term follow-up is necessary.
K, Oda +5 more
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Pediatric Cardiac Surgery Annual of the Seminars in Thoracic and Cardiovascular Surgery, 2003
In hearts with a functional single ventricle, cavity volume and myocardial muscle mass increase as a consequence of the excessive volume load associated with parallel pulmonary and systemic circulations. The hemi-Fontan operation was conceived as a means of accomplishing early reduction of the volume work of the single ventricle, in anticipation of ...
Marshall L, Jacobs +1 more
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In hearts with a functional single ventricle, cavity volume and myocardial muscle mass increase as a consequence of the excessive volume load associated with parallel pulmonary and systemic circulations. The hemi-Fontan operation was conceived as a means of accomplishing early reduction of the volume work of the single ventricle, in anticipation of ...
Marshall L, Jacobs +1 more
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Anesthesia & Analgesia, 2015
The Fontan operation places the systemic and pulmonary circulations in series, driven by a single ventricular chamber. It has become the treatment strategy of choice for palliating single-ventricle congenital heart disease. This anatomy engenders profound changes in physiology, affecting the cardiovascular and respiratory systems with direct ...
Matthew, Jolley +3 more
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The Fontan operation places the systemic and pulmonary circulations in series, driven by a single ventricular chamber. It has become the treatment strategy of choice for palliating single-ventricle congenital heart disease. This anatomy engenders profound changes in physiology, affecting the cardiovascular and respiratory systems with direct ...
Matthew, Jolley +3 more
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The Extracardiac Fontan Procedure
Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual, 1998The extracardiac modification of the Fontan procedure for complex single ventricle congenital cardiac disease is the latest attempt at improving on both the short-term and long-term results of this operation. This procedure differs from other modifications in that the inferior vena cava is detached from the heart and connected via a conduit to the ...
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The Annals of Thoracic Surgery, 2006
Since the implementation of the Fontan procedure, several clinical factors have been linked to outcome. A study of the outcome after Fontan completion was undertaken with particular attention to the influence of age and cardiac diagnosis.Review of all patients (n = 107) undergoing Fontan completion between January 1998 and July 2005 to identify ...
Christian, Pizarro +4 more
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Since the implementation of the Fontan procedure, several clinical factors have been linked to outcome. A study of the outcome after Fontan completion was undertaken with particular attention to the influence of age and cardiac diagnosis.Review of all patients (n = 107) undergoing Fontan completion between January 1998 and July 2005 to identify ...
Christian, Pizarro +4 more
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Failure of the Fontan Circulation
Heart Failure Clinics, 2014The essence of a Fontan circuit is the creation of the Fontan "neoportal system," which allows for oxygenation at near normal levels, but at the cost of a chronic state of systemic venous congestion and decreased cardiac output. The heart, while still the engine of the circuit, cannot compensate for this major flow restriction: the ventricle has lost ...
Marc, Gewillig, David J, Goldberg
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The adult with a Fontan operation
Current Cardiology Reports, 2007Since 1971, the Fontan operation has been performed for the repair of single-ventricle physiology. This ingenious operation commits a single ventricle to the systemic circulation and takes advantage of cardiovascular and respiratory physiology to propel deoxygenated blood to the lungs, thus minimizing right-to-left shunting and cyanosis.
Jamil, Aboulhosn, John S, Child
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