Catheter Takedown in the Management of the Acutely Failing Fontan Circulation

The acutely failing Fontan circulation requires urgent management to decompress the systemic venous pressures and augment cardiac output. This may involve the use of extracorporeal membrane oxygenation support to preserve life. Catheter-based effective Fontan takedown is an alternative to surgery in...

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Veröffentlicht in:	The Annals of thoracic surgery 2011-07, Vol.92 (1), p.346-348
Hauptverfasser:	Anderson, Ben W., MBBS, FRACP, Barron, David J., MD, FRCS, Jones, Timothy J., MD, FRCS, Edwards, Linda, MRCP, Brawn, William, FRCS, FRACS, Stumper, Oliver, MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cardiac Catheterization - instrumentation Cardiac Catheterization - methods Cardiac Output Cardiology. Vascular system Cardiothoracic Surgery Child, Preschool Device Removal Extracorporeal Membrane Oxygenation - methods Follow-Up Studies Fontan Procedure - adverse effects Fontan Procedure - methods Humans Hypoplastic Left Heart Syndrome - diagnosis Hypoplastic Left Heart Syndrome - surgery Male Medical sciences Pneumology Postoperative Complications - diagnosis Postoperative Complications - therapy Regional Blood Flow - physiology Risk Assessment Stents Surgery Treatment Failure Treatment Outcome
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Beschreibung
Zusammenfassung:	The acutely failing Fontan circulation requires urgent management to decompress the systemic venous pressures and augment cardiac output. This may involve the use of extracorporeal membrane oxygenation support to preserve life. Catheter-based effective Fontan takedown is an alternative to surgery in these patients, who are acutely unstable, and offers the potential for an adjustable fenestration.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2011.01.040