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Non-invasive management of obstructive sleep apnoea in a Fontan patient

Published online by Cambridge University Press:  17 June 2019

Maria Boutsikou*
Affiliation:
Adult Congenital Heart Centre & National Centre for Pulmonary Hypertension, Royal Brompton Hospital, London, UK Cardiovascular Magnetic Resonance Unit, Royal Brompton Hospital, London, UK
Wei Li
Affiliation:
National Heart and Lung Institute, Imperial College School of Medicine, London, UK
Michael A. Gatzoulis
Affiliation:
National Heart and Lung Institute, Imperial College School of Medicine, London, UK
*
Author for correspondence: M. Boutsikou, Royal Brompton Hospital, Cardiovascular Magnetic Resonance Unit, Sydney Street, London, United Kingdom of Great Britain and Northern Ireland, SW3 6NP. Tel: +44 20 73518602; Fax: +44 20 73518629; E-mail: boutsikoum@gmail.com

Abstract

In patients with CHD after Fontan palliation, there is a lack of a pumping chamber in the pulmonary circulation; thus, pulmonary blood flow and cardiac output are sensitive to increased pulmonary vascular resistance; if obstructive sleep apnoea is present, there are legitimate concerns from continuous positive airway pressure ventilation, which may hinder pulmonary blood flow.

Type
Brief Report
Copyright
© Cambridge University Press 2019 

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References

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Non-invasive management of obstructive sleep apnoea in a Fontan patient
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