Results 1 to 10 of about 6,922 (126)

A Multimodal Score Accurately Classifies Fontan Failure and Late Mortality in Adult Fontan Patients [PDF]

Frontiers in Cardiovascular Medicine, 2022
ObjectivesDespite the outstanding success of the Fontan operation, it is a palliative procedure and a substantial number of patients experience late failure of the Fontan circulation. Clinical presentation and hemodynamic phenotypes of Fontan failure are
Peter Kramer, Anastasia Schleiger, Marie Schafstedde, Marie Schafstedde, Marie Schafstedde, Friederike Danne, Johannes Nordmeyer, Felix Berger, Felix Berger, Felix Berger, Stanislav Ovroutski   +10 more
doaj   +4 more sources

Varicocelectomy Restores Spermatogenesis in Fontan‐Associated Varicocele: A Two‐Case Series [PDF]

IJU Case Reports
Introduction Fontan circulation may cause chronic venous hypertension and predispose patients to varicocele and infertility, but the clinical significance of surgical treatment remains unclear.
Yusuke Tominaga, Tomoko Kobayashi, Yuko Matsumoto, Takatoshi Moriwake, Nariaki Ozaki, Takuya Sadahira, Satoshi Katayama, Shingo Nishimura, Kensuke Bekku, Motoo Araki   +9 more
doaj   +3 more sources

Functional hepatic deterioration determined by 13C-methacetin breath test is associated with impaired hemodynamics and late Fontan failure in adults [PDF]

Frontiers in Cardiovascular Medicine, 2022
BackgroundDespite improved survival a substantial number of Fontan patients eventually develop late failure. Fontan-associated liver disease (FALD) is the most frequent end-organ dysfunction.
Anastasia Schleiger, Peter Kramer, Hannes Sallmon, Niklas Jentsch, Marta Pileckaite, Friederike Danne, Marie Schafstedde, Marie Schafstedde, Marie Schafstedde, Hans-Peter Müller, Tobias Müller, Frank Tacke, Maximilian Jara, Martin Stockmann, Felix Berger, Felix Berger, Stanislav Ovroutski   +16 more
doaj   +2 more sources

Management of circulatory failure after Fontan surgery

Frontiers in Pediatrics, 2022
With improvement in survival after Fontan surgery resulting in an increasing number of older survivors, there are more patients with a Fontan circulation experiencing circulatory failure each year.
Alicia M. Kamsheh, Matthew J. O’Connor, Joseph W. Rossano   +2 more
doaj   +3 more sources

The increasing utilization of ventricular assist devices in fontan failure [PDF]

JHLT Open
The Fontan population has increased dramatically owing to advances in medical and surgical therapies, with many living well into adulthood with Fontan circulation.
Darren Turner, MD, Amir Mehdizadeh-Shrifi, MD, Grant Chappell, BS, David L. Morales, MD   +3 more
doaj   +2 more sources

Thoracic Lymphatic Perfusion Patterns Assessed by Magnetic Resonance Imaging and Late Fontan Failure [PDF]

Diagnostics
Background: Fontan circulation maintains an elevated venous pressure; this promotes venous and lymphatic congestion and may lead to late circuit failure.
Diego B. Ortega-Zhindón, Gabriela Meléndez-Ramírez, Sergio A. Patrón-Chi, Frida Rivera-Buendía, Juan Calderón-Colmenero, José A. García-Montes, Nonanzit Pérez-Hernández, José Manuel Rodríguez-Pérez, Jorge L. Cervantes-Salazar   +8 more
doaj   +2 more sources

Fontan Failure: Current State of the Art in Mechanical Circulatory Support and Transplantation [PDF]

Children
The Fontan procedure has rewritten the natural history of many children with congenital heart disease and univentricular physiology. However, long-term survival is limited by the development of haemodynamic and multisystem failure, leading to high ...
Rosaria Barracano, Gabriele De Palma, Claudia Montanaro, Vito Casale, Nunzia Borrelli, Antonella Bruna Cutrì, Micol Rebonato, Ippolita Altobelli, Gianfranco Butera, Giancarlo Scognamiglio, Berardo Sarubbi   +10 more
doaj   +2 more sources

Magnetic Resonance Imaging–Based Psoas Muscle Volume as an Additional Risk Factor for Fontan Failure: A Prospective Cohort Study [PDF]

Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
Background Sarcopenia is prevalent in patients with Fontan circulation and may contribute to functional decline and adverse outcomes. It is commonly assessed using the cross‐sectional area of the psoas muscle (PMA), although volumetric assessment of ...
Sukran Erdem, Tarique Hussain, Orhan Erdem, Mohammed Qasim Mehdi, Ryan Butts, Franz Gerald Greil, Tarek Alsaied, Qing Zou   +7 more
doaj   +2 more sources

Non-Invasive Assessment of Endothelial Dysfunction and Arterial Stiffness in Fontan Circulation. [PDF]

Eur J Clin Invest
The Fontan procedure is the definitive treatment for complex congenital heart disease, creating a circulation without a subpulmonary ventricle. This altered hemodynamic state negatively affects endothelial function, contributing to progressive organ dysfunction and long‐term morbidity.
Baroutidou A, Pagkopoulou E, Kamperidis V, Ziakas A, Dimitroulas T, Giannakoulas G.   +5 more
europepmc   +2 more sources

Contemporary outcomes of the Fontan operation: An Australian and New Zealand Fontan Registry studyCentral MessagePerspective [PDF]

JTCVS Open
Objective: We sought to review the impact of extracardiac conduit size and risk factors on the long-term outcomes of the contemporary Fontan procedure: lateral tunnel and extracardiac conduits.
Michael Daley, MD, PhD, Igor E. Konstantinov, MD, PhD, FRACS, Supreet Marathe, MBBS, MS, MCh, Tim Hornung, MBBS, FRACP, Patrick Disney, MBBS, FRACP, Nelson Alphonso, MBBS, FRACS, Jelena Saundankar, MBBS, FRACP, Gavin Wheaton, MBBS, FRACP, Leeanne Grigg, MBBS, FRACP, Vishva Wijesekera, MBBS, FRACP, Ajay Iyengar, MBBS, PhD, FRACS, Julian Ayer, MBBS, PhD, FRACP, Rachael Cordina, MBBS, PhD, FRACP, Yves d’Udekem, MD, PhD, FRACS   +13 more
doaj   +2 more sources