5
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Management of the failing Fontan.

      Read this article at

      ScienceOpenPublisherPubMed
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          With and increasing number of early survivors after the palliation of the single ventricle physiology there is a burgeoning Fontan population worldwide that will pose unique challenges because of the inevitable sequelae related to the absence of the alleged "needless" sub-pulmonic ventricle. The increasing number and older-age single-ventricle patients highlights the results of successful contemporary surgical palliation in children, leading to the development of an adult single-ventricle population with unpredictable socio-economic and health service impacts. The wide variability in clinical status of patients with Fontan circulation reflects not only the broadened spectrum of morphological substrates involved, but also the evolving surgical techniques during the last four decades. This has come in the wake of a gradual understanding of an incredibly tricky physiology. The magnitude of the disease, the physio-pathological mechanisms, and the therapeutic options to optimize the "failing Fontan" status and to delay the irreversible deterioration of "Fontan failure" condition are discussed in this review.

          Related collections

          Author and article information

          Journal
          Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu
          Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual
          Elsevier BV
          1092-9126
          1092-9126
          2015
          : 18
          : 1
          Affiliations
          [1 ] Department of Congenital Cardiothoracic Surgery, Freeman Hospital, Newcastle Upon Tyne, UK. Electronic address: fabrizio.derita@gmail.com.
          [2 ] Department of Congenital Cardiology, Freeman Hospital, Newcastle Upon Tyne, UK.
          [3 ] Department of Congenital Cardiothoracic Surgery, Freeman Hospital, Newcastle Upon Tyne, UK.
          Article
          S1092-9126(15)00007-1
          10.1053/j.pcsu.2015.01.004
          25939836
          14f0f7f5-bd81-4e02-b38c-46cd79170645
          History

          Comments

          Comment on this article