Arterial stiffness in adult patients after Fontan procedure

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Arterial stiffness in adult patients after Fontan procedure

OBJECTIVES Increased arterial stiffness is a risk factor of atherosclerosis and cardio-vascular complications. The aim of the study was to determine whether peripheral vascular function might be an early marker of impaired health status in patients with a single ventricle after Fontan procedure. METHODS AND RESULTS Twenty five consecutive adults (11 women and 14 men) aged 24.7 ± 6.2 years aft...

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Arrhythmias after the Fontan procedure.

OBJECTIVE To study the determinants and outcome of arrhythmias after the Fontan type operation. DESIGN Retrospective analysis of data in patients operated on between 1972 and 1986 (follow up 5-19 years (mean 12 years)). PATIENTS All 60 patients undergoing a Fontan type procedure at the National Heart Hospital, London, during the study period (mean age (SD) 12.3 (6.8) years). RESULTS Posto...

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Pulmonary vascular structure in patients dying after . a Fontan procedure

Pulmonary vascular structure was analysed in the lungs of 12 patients who had had a Fontan repair, 11 of whom died. Of the eight patients with a low pulmonary blood flow preoperatively, pulmonary vascular structure was almost normal in seven, but in the remaining patient many intra-acinar arteries contained organised occlusive thrombi. Of the four patients with an increased pulmonary blood flow...

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Dynamics of right heart flow in patients after Fontan procedure.

In seven patients who underwent Fontan procedures but in whom no valves were inserted, dynamics of right heart flow were evaluated with the use of a catheter-tipped velocity transducer, pulsed Doppler echocardiography, and angiocardiography. Right atrial (RA) contraction caused a forward flow to the pulmonary artery (PA) and a backward flow to the inferior vena cava (IVC). Backward flow to the ...

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Endothelial Function and Arterial Stiffness Relate to Functional Outcomes in Adolescent and Young Adult Fontan Survivors

BACKGROUND Fontan survivors demonstrate diminished vascular function and functional outcomes, but the relationships between these measures have not been established. METHODS AND RESULTS We performed a cross-sectional study of 60 Fontan survivors (52% male) with a mean age of 13.9±4.1 years and mean Fontan duration of 9.9±4.2 years. Multimodality assessment of endothelial function (reactive hy...

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ژورنال

عنوان ژورنال: Cardiovascular Ultrasound

سال: 2014

ISSN: 1476-7120

DOI: 10.1186/1476-7120-12-15