Editorial commentEarly pulmonary artery debanding with Damus–Kaye–Stansel procedure provides good haemodynamics for the Fontan circulation

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The Fontan Circulation

The original Fontan procedure was first introduced in the 1970s. The concept behind this surgical technique was revolutionary. It has subsequently transformed the lives of children born with complex congenital heart disease which was once thought to be inoperable and resulted in early death. The procedure itself has had several modifications over the decades, with subsequent improvements in lon...

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Detection of right atrial and pulmonary artery thrombosis after the Fontan procedure by magnetic resonance imaging.

T he Fontan procedure has been extensively used for palliation of patients with univentricular heart defects. Thrombi and thromboembolic complications have been frequently reported after this operation. Magnetic resonance imaging (MRI) has been shown to be very useful in patients with congenital heart disease and also in the detection of intracardiac masses and thrombosis. We describe for the f...

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Adverse pulmonary vascular remodeling in the Fontan circulation.

BACKGROUND The Fontan circulation is a palliation for patients with a functionally univentricular heart. It is characterized by gradual attrition over time. An increase in pulmonary vascular resistance could be a key factor in the long-term failure of the Fontan circulation. In this study we aimed to identify pulmonary vascular remodeling in patients with a Fontan circulation. METHODS Pulmona...

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Fontan hemodynamics: importance of pulmonary artery diameter.

OBJECTIVE We quantify the geometric and hemodynamic characteristics of extracardiac and lateral tunnel Fontan surgical options and correlate certain anatomic characteristics with their hemodynamic efficiency and patient cardiac index. METHODS AND RESULTS The study was conducted retrospectively on 22 patients undergoing Fontan operations (11 extracardiac and 11 lateral tunnel operations). Tota...

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The Fontan circulation.

Correspondence to: Professor Marc Gewillig, Pediatric Cardiology, Gasthuisberg University Hospital, B 3000 Leuven, Belgium; marc.gewillig@ uzleuven.be _________________________ A normal mammal cardiovascular system consists postnatally of a double—pulmonary and systemic—circuit, connected in series, powered by a double pump—the ‘‘right’’ and ‘‘left’’ heart. Many complex cardiac malformations ar...

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 2009

ISSN: 1010-7940

DOI: 10.1016/j.ejcts.2008.10.006