Five decades of Fontan palliation: What have we learned? What should we expect?
J Int Med Res
; 51(10): 3000605231209156, 2023 Oct.
Article
em En
| MEDLINE
| ID: mdl-37910851
The Fontan procedure is the final palliative surgery in a series of staged surgeries to reroute the systemic venous blood flow directly to the lungs, with the ventricle(s) pumping oxygenated blood to the body. Advances in medical and surgical techniques have improved patients' overall survival after the Fontan procedure. However, Fontan-associated chronic comorbidities are common. In addition to chronic cardiac dysfunction and arrhythmias, complications involving other organs such as the liver, lungs, intestine, lymphatic system, brain, and blood frequently occur. This narrative review focuses on the immediate and late consequences in children, pregnant women, and other adults with Fontan circulation. In addition, we describe the technical advancements that might change the way single-ventricle patients are managed in future.
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Base de dados:
MEDLINE
Assunto principal:
Técnica de Fontan
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Cardiopatias Congênitas
Limite:
Adult
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Child
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Female
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Humans
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Pregnancy
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article