The physiology of the Fontan circulation

Progress in Pediatric Cardiology

Volumn 22, Issue 2 SPEC. ISS., 2006, Pages 179-186

  Redington, Andrew ^a  

^a HOSPITAL FOR SICK CHILDREN   (Canada)

Author keywords

Antriopulmonary anastomosis; Cavopulmonary anastomosis; Fontan circulation; palliation

Indexed keywords

NITRIC OXIDE; SILDENAFIL;

ANGIOGRAPHY; ARTERY RESISTANCE; ARTICLE; COLOR ULTRASOUND FLOWMETRY; CONGENITAL HEART DISEASE; DOPPLER ECHOCARDIOGRAPHY; FONTAN PROCEDURE; GENERAL ANESTHESIA; HEART CATHETERIZATION; HEART FAILURE; HEART LEFT VENTRICLE; HEART LEFT VENTRICLE OUTFLOW TRACT OBSTRUCTION; HEART RIGHT VENTRICLE; HEART SINGLE VENTRICLE; HEART VENTRICLE WALL MOTION; HUMAN; HYPERTENSION; HYPOPLASTIC LEFT HEART SYNDROME; INTRAOPERATIVE PERIOD; LUNG BLOOD FLOW; LUNG VASCULAR RESISTANCE; M MODE ECHOCARDIOGRAPHY; POSTOPERATIVE PERIOD; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; PULMONARY ARTERY; VALSALVA MANEUVER;

EID: 33748535784     PISSN: 10589813     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ppedcard.2006.07.007     Document Type: Article

References (36)

1. de Leval M.R., Kilner P., Gewillig M., and Bull C. Total cavopulmonary connection: a logical alternative to atriopulmonary connection for complex Fontan operations. Experimental studies and early clinical experience. J Thorac Cardiovasc Surg 96 5 (Nov 1988) 682-695
2. Rosenthal M., Bush A., Deanfield J., and Redington A. Comparison of cardiopulmonary adaptation during exercise in children after the atriopulmonary and total cavopulmonary connection Fontan procedures. Circulation 91 2 (Jan 15 1995) 372-378
3. Hausdorf G., Schneider M., and Konertz W. Surgical preconditioning and completion of total cavopulmonary connection by interventional cardiac catheterisation: a new concept. Heart 75 4 (1996) 403-409
4. Redington A.N., Knight B., Oldershaw P.J., Shinebourne E.A., and Rigby M.L. Left ventricular function in double inlet left ventricle before the Fontan operation: comparison with tricuspid atresia. Br Heart J 60 4 (Oct 1988) 324-331
5. Gaynor J.W., Bridges N.D., Cohen M.I., et al. Predictors of outcome after the Fontan operation: is hypoplastic left heart syndrome still a risk factor?. J Thorac Cardiovasc Surg 123 2 (Feb 2002) 237-245
6. Gentles T.L., Mayer Jr. J.E., Gauvreau K., et al. Fontan operation in five hundred consecutive patients: factors influencing early and late outcome. J Thorac Cardiovasc Surg 114 3 (Sep 1997) 376-391
7. Sluysmans T., Sanders S.P., van der Velde M., et al. Natural history and patterns of recovery of contractile function in single left ventricle after Fontan operation. Circulation 86 6 (Dec 1992) 1753-1761
8. Gewillig M., Daenen W., Aubert A., and Van der Hauwaert L. Abolishment of chronic volume overload. Implications for diastolic function of the systemic ventricle immediately after Fontan repair. Circulation 86 5 Suppl (Nov 1992) II93-II99
9. Penny D.J., Lincoln C., Shore D.F., Xiao H.B., Rigby M.L., and Redington A.N. The early response of the systemic ventricle during transition to the Fontan circulation: an acute hypertrophic cardiomyopathy?. Cardiol Young 2 (1992) 78-84
10. Penny D., and Redington A.N. Diastolic ventricular function after the Fontan operation. Am J Cardiol 69 (1992) 974-975
11. Border W.L., Syed A.U., Michelfelder E.C., et al. Impaired systemic ventricular relaxation affects postoperative short-term outcome in Fontan patients. J Thorac Cardiovasc Surg 126 6 (Dec 2003) 1760-1764
12. Penny D.J., and Redington A.N. Angiographic demonstration of incoordinate motion of the ventricular wall after the Fontan operation. Br Heart J 66 6 (Dec 1991) 456-459
13. Penny D.J., Rigby M.L., and Redington A.N. Abnormal patterns of intraventricular flow and diastolic filling after the Fontan operation: evidence for incoordinate ventricular wall motion. Br Heart J 66 5 (Nov 1991) 375-378
14. Cheung Y.F., Penny D.J., and Redington A.N. Serial assessment of left ventricular diastolic function after Fontan procedure. Heart 83 4 (Apr 2000) 420-424
15. Cheitlin M.D. Cardiovascular physiology-changes with aging. Am J Geriatr Cardiol 12 1 (Jan-Feb 2003) 9-13
16. Erenberg F.G., and Banerjee A. Systolic and diastolic properties of univentricular hearts in children: insights from physiologic indices that reflect calcium cycling. Pediatr Res 54 6 (Dec 2003) 885-891
17. Cheung M., Smallhorn J.F., Van Arsdell G.S., and Redington A.N. Systemic right ventricular force-frequency relationships are superior to those of the left ventricle in the univentricular circulation. Circulation 108 suppl III (2003) 1286
18. Alpert N.R., Leavitt B.J., Ittleman F.P., Hasenfuss G., Pieske B., and Mulieri L.A. A mechanistic analysis of the force-frequency relation in non-failing and progressively failing human myocardium. Basic Res Cardiol 93 Suppl 1 (1998) 23-32
19. Bolger A.P., Sharma R., Li W., et al. Neurohormonal activation and the chronic heart failure syndrome in adults with congenital heart disease. Circulation 106 1 (Jul 2 2002) 92-99
20. Sanders S.P., Wright G.B., Keane J.F., Norwood W.I., and Castaneda A.R. Clinical and hemodynamic results of the Fontan operation for tricuspid atresia. Am J Cardiol 49 7 (May 1982) 1733-1740
21. Senzaki H., Masutani S., Kobayashi J., et al. Ventricular afterload and ventricular work in Fontan circulation: comparison with normal two-ventricle circulation and single-ventricle circulation with Blalock-Taussig shunts. Circulation 105 24 (Jun 18 2002) 2885-2892
22. Tanoue Y., Sese A., Imoto Y., and Joh K. Ventricular mechanics in the bidirectional Glenn procedure and total cavopulmonary connection. Ann Thorac Surg 76 2 (Aug 2003) 562-566
23. Kouatli A.A., Garcia J.A., Zellers T.M., Weinstein E.M., and Mahony L. Enalapril does not enhance exercise capacity in patients after Fontan procedure. Circulation 96 5 (Sep 2 1997) 1507-1512
24. Redington A.N., Penny D., and Shinebourne E.A. Pulmonary blood flow after total cavopulmonary shunt. Br Heart J 65 4 (Apr 1991) 213-217
25. Penny D.J., and Redington A.N. Doppler echocardiographic evaluation of pulmonary blood flow after the Fontan operation: the role of the lungs. Br Heart J 66 5 (Nov 1991) 372-374
26. Fogel M.A., Weinberg P.M., Rychik J., et al. Caval contribution to flow in the branch pulmonary arteries of Fontan patients with a novel application of magnetic resonance presaturation pulse. Circulation 99 9 (Mar 9 1999) 1215-1221
27. Hsia T.Y., Khambadkone S., Redington A.N., Migliavacca F., Deanfield J.E., and de Leval M.R. Effects of respiration and gravity on infradiaphragmatic venous flow in normal and Fontan patients. Circulation 102 19 Suppl 3 (Nov 7 2000) III148-III153
28. Williams D.B., Kiernan P.D., Metke M.P., Marsh H.M., and Danielson G.K. Hemodynamic response to positive end-expiratory pressure following right atrium-pulmonary artery bypass (Fontan procedure). J Thorac Cardiovasc Surg 87 6 (Jun 1984) 856-861
29. Shekerdemian L.S., Bush A., Shore D.F., Lincoln C., and Redington A.N. Cardiopulmonary interactions after Fontan operations: augmentation of cardiac output using negative pressure ventilation. Circulation 96 11 (Dec 2 1997) 3934-3942
30. Kreutzer J., Keane J.F., Lock J.E., et al. Conversion of modified Fontan procedure to lateral atrial tunnel cavopulmonary anastomosis. J Thorac Cardiovasc Surg 111 6 (Jun 1996) 1169-1176
31. Jahangiri M., Ross D.B., Redington A.N., Lincoln C., and Shinebourne E.A. Thromboembolism after the Fontan procedure and its modifications. Ann Thorac Surg 58 5 (Nov 1994) 1409-1413
32. Varma C., Warr M.R., Hendler A.L., Paul N.S., Webb G.D., and Therrien J. Prevalence of "silent" pulmonary emboli in adults after the Fontan operation. J Am Coll Cardiol 41 12 (Jun 18 2003) 2252-2258
33. Bartmus D.A., Driscoll D.J., Offord K.P., et al. The modified Fontan operation for children less than 4 years old. J Am Coll Cardiol 15 2 (Feb 1990) 429-435
34. Mair D.D., Hagler D.J., Puga F.J., Schaff H.V., and Danielson G.K. Fontan operation in 176 patients with tricuspid atresia. Results and a proposed new index for patient selection. Circulation 82 5 Suppl (Nov 1990) IV164-IV169
35. Nakano T., Tominaga R., Nagano I., Okabe H., and Yasui H. Pulsatile flow enhances endothelium-derived nitric oxide release in the peripheral vasculature. Am J Physiol Heart Circ Physiol 278 4 (Apr 2000) H1098-H1104
36. Khambadkone S., Li J., de Leval M.R., Cullen S., Deanfield J.E., and Redington A.N. Basal pulmonary vascular resistance and nitric oxide responsiveness late after Fontan-type operation. Circulation 107 25 (Jul 1 2003) 3204-3208