The Adult Patient with a Fontan
| Autor: | Ahmed Alzahrani, Rahul H. Rathod, Ahmed Krimly, AlJuhara Thaar AlMarzoog, Yezan Salam, Gruschen R. Veldtman |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Heart Defects Congenital Reoperation congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Hemodynamics Fontan Procedure Hypoplastic left heart syndrome Fontan circulation Postoperative Complications Internal medicine medicine Humans cardiovascular diseases Tricuspid atresia Exercise Tolerance business.industry General Medicine Exercise capacity medicine.disease Prognosis Preload medicine.anatomical_structure Double inlet left ventricle cardiovascular system Vascular resistance Cardiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Cardiology clinics. 38(3) |
| ISSN: | 1558-2264 |
| Popis: | The 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 limited preload due to a relatively fixed pulmonary vascular resistance. The authors provide contemporary data on survival, morbidity, and need for reintervention. Operative morality is now expected to be less than 1% and 30 year survival approximately 89%. The authors delineate potential therapeutic approaches for the potential late complications. |
| Databáze: | OpenAIRE |
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