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Providing a framework of principles for conceptualising the Fontan circulation

The Fontan operation remains the final palliation for thousands of patients with complex congenital heart disease. By creating a Fontan circuit, control of cardiac output and congestion is wrested away from the ventricle and new haemodynamic forces take control. Understanding how to control the flow...

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Detalles Bibliográficos
Autores principales: Gewillig, Marc, Brown, Stephen C., van de Bruaene, Alexander, Rychik, Jack
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7155129/
https://www.ncbi.nlm.nih.gov/pubmed/31737940
http://dx.doi.org/10.1111/apa.15098
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author Gewillig, Marc
Brown, Stephen C.
van de Bruaene, Alexander
Rychik, Jack
author_facet Gewillig, Marc
Brown, Stephen C.
van de Bruaene, Alexander
Rychik, Jack
author_sort Gewillig, Marc
collection PubMed
description The Fontan operation remains the final palliation for thousands of patients with complex congenital heart disease. By creating a Fontan circuit, control of cardiac output and congestion is wrested away from the ventricle and new haemodynamic forces take control. Understanding how to control the flow in the Fontan circuit will enable clinicians to improve patient management and possibly prevent future complications. CONCLUSION: This review proposes a framework of principles to conceptualise the functionality and limitations of a Fontan circulation.
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spelling pubmed-71551292020-04-15 Providing a framework of principles for conceptualising the Fontan circulation Gewillig, Marc Brown, Stephen C. van de Bruaene, Alexander Rychik, Jack Acta Paediatr Review Articles The Fontan operation remains the final palliation for thousands of patients with complex congenital heart disease. By creating a Fontan circuit, control of cardiac output and congestion is wrested away from the ventricle and new haemodynamic forces take control. Understanding how to control the flow in the Fontan circuit will enable clinicians to improve patient management and possibly prevent future complications. CONCLUSION: This review proposes a framework of principles to conceptualise the functionality and limitations of a Fontan circulation. John Wiley and Sons Inc. 2020-01-08 2020-04 /pmc/articles/PMC7155129/ /pubmed/31737940 http://dx.doi.org/10.1111/apa.15098 Text en © 2019 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Review Articles
Gewillig, Marc
Brown, Stephen C.
van de Bruaene, Alexander
Rychik, Jack
Providing a framework of principles for conceptualising the Fontan circulation
title Providing a framework of principles for conceptualising the Fontan circulation
title_full Providing a framework of principles for conceptualising the Fontan circulation
title_fullStr Providing a framework of principles for conceptualising the Fontan circulation
title_full_unstemmed Providing a framework of principles for conceptualising the Fontan circulation
title_short Providing a framework of principles for conceptualising the Fontan circulation
title_sort providing a framework of principles for conceptualising the fontan circulation
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7155129/
https://www.ncbi.nlm.nih.gov/pubmed/31737940
http://dx.doi.org/10.1111/apa.15098
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