Noninvasive determination of exercise cardiac function following Fontan operation
نویسندگان
چکیده
منابع مشابه
Prophylactic anticoagulation following the Fontan operation.
Correspondence to: Dr Michael A Gatzoulis, Adult Congenital Heart Programme, Department of Cardiology, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK; m.gatzoulis@ rbh.nthames.nhs.uk . . . . . . . . . . . . . . . . . . . . . . . T he Fontan procedure was first successfully performed in 1971 in a patient with tricuspid atresia, and has become the preferred approach for surgical palli...
متن کاملFontan operation.
D uring the past 4 decades, the Fontan operation has been carried out as a surgical treatment in patients with tricuspid atresia. Over the years, it has become established as a revolutionary therapy in patients with univentricular heart physiology. Many experimental and clinical studies have been performed with a view to understanding the Fontan circulation; in consequence, the operation has un...
متن کاملCardiorespiratory responses to exercise after the Fontan operation.
O riginally described for the treatment of tricuspid atresia, the concept of ventricular exclusion and direction of systemic venous blood from the right atrium immediately into the pulmonary artery has been applied to a variety of forms of single ventricle. Theoretically, this operation should eliminate the right-to-left shunt and decrease the volume of systemic ventricular blood flow. Fontan's...
متن کاملLong-term cardiopulmonary exercise capacity after modified Fontan operation.
OBJECTIVE Early circuit separation enhances the long-term success of Fontan haemodynamics. To test this hypothesis, we analysed the postoperative cardiopulmonary capacity in children and adults. PATIENTS Spiroergometry was performed at least twice in 43 patients with a median age of 14 (range: 7-43) years, with a median time interval of 4.6 (1.1-10.4) years between early and late testing. Twe...
متن کاملSeverely impaired cardiac autonomic nervous activity after the Fontan operation.
BACKGROUND Elevated neurohumoral activity and an abnormal cardiopulmonary response to exercise are well-established characteristics in patients after the Fontan operation. However, there have been few studies addressing cardiac autonomic nervous activity (CANA) in these patients. METHODS AND RESULTS We evaluated CANA in 63 post-Fontan patients and 44 controls. Cardiac parasympathetic nervous ...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 1984
ISSN: 0022-5223
DOI: 10.1016/s0022-5223(19)38362-x