Pulmonary artery size and function after Fontan operation at a young age

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Pulmonary artery size and late functional outcome after Fontan operation.

BACKGROUND Pulmonary artery (PA) growth after a Fontan procedure tends to be suboptimal to somatic growth. This study aimed to investigate whether the PA size affects the late outcomes of the Fontan procedure. METHODS This study enrolled 120 Fontan patients. Their mean age was 19.3 ± 5.6 years. PA size was measured from computed tomographic images. Patients were divided into three groups acco...

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[Pulmonary thromboembolism after Fontan operation].

The fatal outcome in an eleven-year-old girl, one month after an extra-cardiac Fontan operation is reported. She was diagnosed with tricuspid atresia and had a Blalock Taussig shunt and a bidirectional Glenn procedure. The Fontan operation was performed using a Dacron conduit, fenestrated with a 6 mm Goretex tube. The first week after the operation she received low molecular weight heparin, the...

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Doppler assessment of pulmonary artery flow patterns and ventricular function after the Fontan operation.

To assess the relation between ventricular systolic and diastolic function and pulmonary artery (PA) flow patterns after the Fontan operation, 15 postoperative patients were prospectively evaluated with echocardiography. Blood flow velocities in the PA were recorded with pulsed Doppler echocardiography. Ejection fraction was measured by 2-dimensional echocardiography using Simpson's rule. Index...

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Doppler echocardiographic evaluation of pulmonary artery flow after modified Fontan operation: importance of atrial contraction.

Doppler echocardiography was used to evaluate blood flow in the pulmonary artery in 14 patients 2 to 42 months (mean (SD) 17 (12) months) after a modified Fontan operation incorporating a direct atriopulmonary anastomosis. Preoperatively six patients had tricuspid atresia, six had a double inlet left ventricle, and two had pulmonary atresia with an intact ventricular septum. The postoperative r...

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Vasopressin After the Fontan Operation.

BACKGROUND Prolonged pleural effusion following Fontan operation is common and increases morbidity and hospital length of stay. Vasopressin (VP), a neurohypophysial hormone, has numerous effects on the cardiovascular system. The most notable is increased peripheral vascular resistance, but it may also reduce capillary leakage by tightening endothelial intercellular junctions and reducing capill...

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ژورنال

عنوان ژورنال: Journal of Magnetic Resonance Imaging

سال: 2008

ISSN: 1053-1807,1522-2586

DOI: 10.1002/jmri.21544