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Impact of Atrial Fibrillation on Fontan Circulation: Fontan Computational Model
The Annals of Thoracic Surgery, 2022Patients with Fontan circulation may have heart failure resulting in atrial fibrillation during the late phase. Inotropic effects to ameliorate hemodynamics on the Fontan circulation are not well understood, especially when in atrial fibrillation. This study was performed to determine whether dobutamine therapy in patients with Fontan circulation has ...
Koichi Sughimoto +4 more
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Fontan Circulation: Success or Failure?
Canadian Journal of Cardiology, 2013Fontan surgery represents a milestone in the evolution of congenital heart disease management. It achieved the seemingly improbable (ie, restoration of a noncyanotic state by entirely bypassing the subpulmonary ventricle). In so doing, it has allowed a generation of children who may have otherwise succumbed to their severe congenital heart defect to ...
Blandine, Mondésert +9 more
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Infected thrombus in a Fontan circulation
Echocardiography, 2020AbstractThe Fontan operation was introduced in 1968 as a palliative treatment for patients with univentricular heart physiology. Natural history and outcomes are poor. By 10 years after Fontan operation, most patients will develop any complication such as tachyarrhythmias, any spectrum of Fontan‐associated liver disease, protein‐losing enteropathy ...
Juan Francisco Fritche‐Salazar +4 more
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The ‘failing’ Fontan circulation
Progress in Pediatric Cardiology, 2002Abstract While functional outcomes for Fontan patients continue to improve, increasing follow-up underscores the impact of the single ventricle circulation on all body tissues and organ systems. In long-term follow-up, a variety of potential systemic effects and complications may develop.
Clare P O'Donnell, Michael J Landzberg
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Advancing Cor Triatriatum in Fontan Circulation
The Annals of Thoracic Surgery, 2013A 14-year-old female with mitral atresia, double outlet right ventricle, l-malposition of the great arteries, pulmonary valvular stenosis, bilateral superior vena cavae, and juxtaposed right atrial appendage had undergone a staged Fontan completion at 22 months of age.
Yusuke, Misumi +3 more
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Conversion of the failed Fontan circulation
Cardiology in the Young, 2006Many patients with a functional univentricular heart were treated in the 1970s and 1980s, using an atriopulmonary connection to create the Fontan circulation.1–3Although this procedure, in many patients, was initially successful, and provided arterial saturations of oxygen close to normal, as these patients were followed over the years, in some cases ...
Carl L, Backer +4 more
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Percutaneous interventions in Fontan circulation
European Heart Journal, 2022Abstract Background In light of increased survival of patients with Fontan circulation, percutaneous interventions in these patients have become growingly significant in the recent years. Percutaneous treatments in patients with univentricular physiology can optimize the short term hemodynamics in ...
A Marschall +10 more
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Imaging adult patients with Fontan circulation
Current Opinion in Cardiology, 2017Survival after the Fontan procedure for palliation of single ventricle congenital heart disease has improved. However, adults with Fontan circulation are at risk for several complications including heart failure, thromboembolism, and protein-losing enteropathy.
Salil, Ginde +2 more
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PERFUSION-CONTRACTILITY MATCHlNG DURING FONTAN CIRCULATION
Biomedizinische Technik/Biomedical Engineering, 2002We investigated the relationship between coronary perfusion pressure (CPP) and myocardial contractility and the effects of an acute elevation of right atrial pressure (RAP) on this relationship in an experimental model of Fontan circulation in 6 anesthetized open-chest dogs with isolated perfused coronary arteries.
G, Szabó +5 more
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Exercise capacity in the Fontan circulation
Cardiology in the Young, 2013AbstractThe Fontan operation can create a stable circulation from childhood through early adulthood. However, the absence of a sub-pulmonary pumping chamber leads to a physiology in which exercise capacity is limited and decreases with age starting in adolescence. The limitation in exercise capacity is more pronounced at peak levels of exercise, but is
David J, Goldberg +3 more
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