The Lymphatic Circulation in Adaptations to the Fontan Circulation

Autor: David S. Winlaw, Sabarinath Menon, Shinya Ugaki, Julian Ayer, Gary F. Sholler, Murthy Chennapragada
Rok vydání: 2017
Předmět:
Heart Defects
Congenital
congenital
hereditary
and neonatal diseases and abnormalities
medicine.medical_specialty
Plastic bronchitis
Protein-Losing Enteropathies
Retrograde Flow
030204 cardiovascular system & hematology
Fontan Procedure
Imaging modalities
Fontan circulation
Lymphatic System
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine
Humans
cardiovascular diseases
Bronchitis
Lymphatic Diseases
Lymphatic Vessels
business.industry
Chylothorax
Vascular surgery
medicine.disease
Adaptation
Physiological
Surgery
Management strategy
surgical procedures
operative
Lymphatic system
030228 respiratory system
Blood Circulation
Pediatrics
Perinatology and Child Health
cardiovascular system
Cardiology
Cardiology and Cardiovascular Medicine
business
human activities
Dilatation
Pathologic
Zdroj: Pediatric Cardiology. 38:886-892
ISSN: 1432-1971
0172-0643
DOI: 10.1007/s00246-017-1576-y
Popis: Failing Fontan continues to be major problem for patients on the univentricular pathway. Failing Fontan is often complicated by chylothorax, plastic bronchitis and protein loosing enteropathy. The role of lymphatic circulation in Fontan circulation is still being researched. Newer imaging modalities give insight into the role of abnormal dilatation and retrograde flow in lymphatic channels post Fontan. Interventional strategies targeting abnormal lymphatic channels, provides an alternative management strategy for patients with failing Fontan. This review focuses on the role of lymphatic system in adaptations to Fontan circulation.
Databáze: OpenAIRE
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