The Fontan Circulation: The Known, the Unknown and the Plausible
Autor: | Marc Gewillig, Jacoba Louw |
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Rok vydání: | 2013 |
Předmět: |
medicine.medical_specialty
Cardiac output business.industry Functionally univentricular heart Prenatal diagnosis Fontan circulation Cardiac surgery medicine.anatomical_structure Internal medicine medicine Cardiology Vascular resistance General Earth and Planetary Sciences Complex congenital heart disease Intensive care medicine business Liver pathology General Environmental Science |
Zdroj: | Current Pediatrics Reports. 1:69-74 |
ISSN: | 2167-4841 |
DOI: | 10.1007/s40124-013-0017-5 |
Popis: | The Fontan circulation is used as palliative surgery in the functionally univentricular heart. Due to the advances made in prenatal diagnosis, cardiac surgery, technology, and monitoring in complex congenital heart disease, survival rates have improved significantly. For this group of patients, the physiology and pathology remain challenging and eluding, even more so in the long-term follow-up. In the last decade pulmonary vascular resistance has been shown to be of utmost importance regarding cardiac output both at rest and during exercise. The aim of this article is to review the most recently published data, namely new concepts and our current understanding regarding the physiology; performance during exercise; the value of imaging modalities; and chronic liver pathology in the Fontan circulation. |
Databáze: | OpenAIRE |
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