Title: Volume load paradox while preparing for the Fontan: not too much for the ventricle, not too little for the lungs
Authors: Gewillig, Marc ×
Brown, Stephen C
Heying, Ruth
Eyskens, Benedicte
Ganame, Javier
Boshoff, Derize E
Budts, Werner
Gorenflo, Matthias #
Issue Date: Feb-2010
Publisher: Elsevier Science
Series Title: Interactive Cardiovascular and Thoracic Surgery vol:10 issue:2 pages:262-265
Abstract: Ventricular dysfunction is frequently encountered in Fontan patients. Cardiologists and cardiac surgeons have, therefore, mainly focused on preservation of cardiac function, limiting the early volume overload as much as possible both in magnitude and duration. This resulted in improved cardiac function but, in some patients, also in poor pulmonary artery (PA) growth which in turn resulted in a poor final Fontan circuit. The volume requirements for optimal growth and development of the ventricle and the lungs are different and divergent. Avoiding overload of the ventricle is important, but excessive protection from volume overload may not be necessary and may result in PA hypoplasia, which in turn will severely affect the Fontan circuit.
ISSN: 1569-9293
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Pediatric Cardiology Section (-)
Cardiovascular Developmental Biology
× corresponding author
# (joint) last author

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