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a study of the fontan circulation and ventricular energetics based on a model

Published online by Cambridge University Press:  23 September 2005

andrea ripoli
Affiliation:
national research council, institute of clinical physiology, “g. pasquinucci” hospital, massa, italy
sergio berti
Affiliation:
national research council, institute of clinical physiology, “g. pasquinucci” hospital, massa, italy
mattia glauber
Affiliation:
national research council, institute of clinical physiology, “g. pasquinucci” hospital, massa, italy
vittorio vanini
Affiliation:
national research council, institute of clinical physiology, “g. pasquinucci” hospital, massa, italy
vincenzo stefano luisi
Affiliation:
national research council, institute of clinical physiology, “g. pasquinucci” hospital, massa, italy
andrea biagini
Affiliation:
national research council, institute of clinical physiology, “g. pasquinucci” hospital, massa, italy

Abstract

patients with congenitally malformed hearts characterised by a functionally single ventricle are currently treated using several procedures that bypass the right heart, such as the fontan and hemi-fontan operations, the bidirectional cavopulmonary anastomosis, and the total cavopulmonary connection. all these options are based on the procedures introduced for palliative correction of tricuspid atresia by fontan and baudet in 1971. introduced with the purpose of reducing the pre-operative volume overload, the surgical task mainly consists of separating the pulmonary from the systemic circulation. irrespective of the specific operation performed, we can call the resulting circulation the fontan circulation.

Type
original article
Copyright
2004 cambridge university press

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