Exercise capacity reflects ventricular function in patients having the Fontan circulation

Cardiology in the Young

Volumn 19, Issue 4, 2009, Pages 340-345

  Klimes, Katrin ^a   Ovroutski, Stanislav ^a   Abdul Khaliq, Hashim ^b   Ewert, Peter ^a   Alexi Meskishvili, Vladimir ^a   Kuehne, Titus ^a   Gutberlet, Matthias ^c   Berger, Felix ^a  

^a DEUTSCHES HERZZENTRUM BERLIN   (Germany)

^b SAARLAND UNIVERSITY   (Germany)

^c UNIVERSITY OF LEIPZIG HEART CENTER   (Germany)

Author keywords

Cavopulmonary connection; Congenital heart disease; Functionally univentricular heart

Indexed keywords

ADOLESCENT; ADULT; AGE DISTRIBUTION; ARTICLE; CARDIOPULMONARY EXERCISE TEST; CHILD; CLINICAL ARTICLE; CONTROLLED STUDY; EXERCISE TEST; FEMALE; FONTAN PROCEDURE; HEART EJECTION FRACTION; HEART LEFT VENTRICLE ENDDIASTOLIC VOLUME; HEART LEFT VENTRICLE ENDSYSTOLIC VOLUME; HEART STROKE VOLUME; HEART VENTRICLE FUNCTION; HEART VENTRICLE VOLUME; HUMAN; MALE; MUSCLE MASS; NUCLEAR MAGNETIC RESONANCE IMAGING; OXYGEN CONSUMPTION; WORKLOAD;

ADOLESCENT; CHILD; CHILD, PRESCHOOL; EXERCISE TEST; EXERCISE TOLERANCE; FEMALE; FONTAN PROCEDURE; HEART VENTRICLES; HUMANS; INFANT; MAGNETIC RESONANCE IMAGING, CINE; MALE; PROGNOSIS; VENTRICULAR DYSFUNCTION; VENTRICULAR FUNCTION;

EID: 70349221135     PISSN: 10479511     EISSN: 14671107     Source Type: Journal    
DOI: 10.1017/S1047951109990424     Document Type: Article

References (18)

1. Fontan F, Baudet E. Surgical repair of tricuspid atresia. Thorax 1971; 26: 240-248.
2. Kreutzer G, Galindez E, Bono H, De Palma C, Laura JP. An operation for the correction of tricuspid atresia. J Thorac Cardiovasc Surg 1973; 66: 613-621.
3. Klimes K, Abdul-Khaliq H, Ovroutski S, et al. Pulmonary and caval blood flow patterns in patients with intracardiac and extracardiac Fontan: A magnetic resonance study. Clin Res Cardiol 2006; 96: 160-167.
4. Gutberlet M, Hosten N, Abdul-Khaliq H, et al. [The value of magnetic resonance tomography (MRT) for evaluating ventricular and anastomotic functions in patients with an extra- or intracardiac total cavopulmonary connection (TCPC)-modified Fontan operation]. Rofo 1999; 171: 431-441.
5. Hjortdal VE, Emmertsen K, Stenbog E, et al. Effects of exercise and respiration on blood flow in total cavopulmonary connection: A real-time magnetic resonance flow study. Circulation 2003; 108: 1227-1231.
6. Rebergen SA, Ottenkamp J, Doornbos J, van der Wall EE, Chin JG, de Roos A. Postoperative pulmonary flow dynamics after Fontan surgery: assessment with nuclear magnetic resonance velocity mapping. J Am Coll Cardiol 1993; 21: 123-131.
7. Fogel MA, Weinberg PM, 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 1999; 99: 1215-1221.
8. Eicken A, Fratz S, Gutfried C, et al. Hearts late after Fontan operation have normal mass, normal volume, and reduced systolic function: A magnetic resonance imaging study. J Am Coll Cardiol 2003; 42: 1061-1065.
9. Piran S, Veldtman G, Siu S, Webb GD, Liu PP. Heart failure and ventricular dysfunction in patients with single or systemic right ventricles. Circulation 2002; 105: 1189-1194.
10. Veldtman GR, Nishimoto A, Siu S, et al. The Fontan procedure in adults. Heart 2001; 86: 330-335.
11. Ohuchi H, Hamamichi Y, Hayashi T, et al. Post-exercise heart rate, blood pressure and oxygen uptake dynamics in pediatric patients with Fontan circulation Comparison with patients after right ventricular outflow tract reconstruction. Int J Cardiol 2005; 101: 129-136.
12. Ohuchi H, Arakaki Y, Hiraumi Y, Tasato H, Kamiya T. Cardiorespiratory response during exercise in patients with cyanotic congenital heart disease with and without a Fontan operation and in patients with congestive heart failure. Int J Cardiol 1998; 66: 241-251.
13. Harrison DA, Liu P, Walters JE, et al. Cardiopulmonary function in adult patients late after Fontan repair. J Am Coll Cardiol 1995; 26: 1016-1021.
14. Rosenthal M, Bush A, Deanfield J, Redington A. Comparison of cardiopulmonary adaptation during exercise in children after the atriopulmonary and total cavopulmonary connection Fontan procedures. Circulation 1995; 91: 372-378.
15. Gewillig MH, Lundstrom UR, Bull C, Wyse RK, Deanfield JE. Exercise responses in patients with congenital heart disease after Fontan repair: patterns and determinants of performance. J Am Coll Cardiol 1990; 15: 1424-1432.
16. Cook AC, Anderson RH. The functionally univentricular circulation: anatomic substrates as related to function. Cardiol Young 2005; 15 Suppl 3: 7-16.
17. Yeh T Jr. Williams WG, McCrindle BW, et al. Equivalent survival following cavopulmonary shunt: With or without the Fontan procedure. Eur J Cardiothorac Surg 1999; 16: 111-116.
18. Niepage S, Schulze-Neick I, Rechter S, et al. [Influence of myocardial mass of the univentricular heart on exercise capacity in patients with functional single ventricle and Fontan surgery]. Z Kardiol 2004; 93: 222-228.