Fontan physiology revisited.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 26086514.
- Also identified by DOI 10.1213/ANE.0000000000000717.
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Abstract
The Fontan operation places the systemic and pulmonary circulations in series, driven by a single ventricular chamber. It has become the treatment strategy of choice for palliating single-ventricle congenital heart disease. This anatomy engenders profound changes in physiology, affecting the cardiovascular and respiratory systems with direct implications for anesthetic and intensive care. The physical basis of these changes and their sequelae are reviewed.
Medical subject headings
- Coronary Circulation
- Fontan Procedure
- Heart Defects, Congenital
- Hemodynamics
- Lung
- Postoperative Complications
- Pulmonary Circulation