WebMay 14, 2024 · Since the first description of the Fontan operation in the early 1970s, a number of modifications have been introduced and currently staged, total cavopulmonary connection with fenestration has become the most commonly used multistage surgery in diverting the vena caval blood flow into the lungs. WebDec 16, 2024 · Group 1 (PAH) is characterised by a proliferative vasculopathy of the small pulmonary arteries resulting in increased pulmonary vascular resistance (PVR). ... Fontan procedures performed in patients with univentricular physiology result in a single circulation in which the pulmonary and systemic circulations run in series . The ventricle is ...
Life after Fontan palliation - Mayo Clinic
WebJul 11, 2024 · The Fontan operation is a palliative procedure that leads to increased survival of patients with a functional single ventricle (SV). Starting from 1967 when the first operation was performed by Francis Fontan, more and more patients have reached adulthood. WebJul 18, 2014 · Elevated serum levels of aminotransferases (i.e., alanine aminotransferase and aspartate aminotransferase), markers of liver injury, are reported in about one-third of Fontan patients. This reflects the fairly modest hepatocyte injury seen in most cases. In decompensated patients with poor cardiac output, however, aminotransferase levels may ... new field communication
Management of complications in patients with Fontan circulation
WebMar 20, 2024 · Evaluated in the UNIVERSE clinical trial XARELTO® is the only anticoagulant FDA approved for use in children with congenital heart disease as thromboprophylaxis post-Fontan procedure1,2 XARELTO ® is indicated for thromboprophylaxis in pediatric patients aged 2 years and older with congenital heart … WebMar 24, 2024 · Most Fontan patients reach adulthood [1,2,3]; however, a standardised long-term follow-up strategy has not been agreed, partly reflecting the non-standardised management of these challenging patients across institutions.Fontan patients can develop several complications such as atrial arrhythmias, heart failure, protein losing enteropathy, … WebJul 1, 2024 · The Fontan procedure has saved the lives of many people born with only one ventricle, but their unique circulatory system requires lifelong medical monitoring and care. A new scientific statement ... intersexism related hormonal imbalances