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Providing a framework of principles for conceptualising the Fontan circulation
Author(s) -
Gewillig Marc,
Brown Stephen C.,
Bruaene Alexander,
Rychik Jack
Publication year - 2020
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.15098
Subject(s) - medicine , fontan procedure , circulation (fluid dynamics) , ventricle , cardiology , hemodynamics , control (management) , intensive care medicine , computer science , engineering , artificial intelligence , aerospace engineering
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.