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Long Term Consequences of the Fontan Procedure and How to Manage Them.

dc.contributor.author Krasuski, Richard
dc.contributor.author Kay, W Aaron
dc.contributor.author Moe, Tabitha
dc.contributor.author Suter, Blair
dc.contributor.author Tennancour, Andrea
dc.contributor.author Chan, Alice
dc.contributor.author Zaidi, Ali N
dc.date.accessioned 2019-02-01T14:40:44Z
dc.date.available 2019-02-01T14:40:44Z
dc.date.issued 2018-09-17
dc.identifier S0033-0620(18)30188-9
dc.identifier.issn 0033-0620
dc.identifier.issn 1873-1740
dc.identifier.uri https://hdl.handle.net/10161/17937
dc.description.abstract In 1971, Fontan and Baudet described a surgical technique for successful palliation of patients with tricuspid atresia. Subsequently, this technique has been applied to treat most forms of functional single ventricles and has become the current standard of care for long-term palliation of all patients with single ventricle congenital heart disease. Since 1971, the Fontan procedure has undergone several variations. These patients require lifelong management including a thorough knowledge of their anatomic substrate, hemodynamic status, management of rhythm and ventricular function along with multi organ evaluation. As these patients enter middle age, there is increasing awareness regarding the long-term complications and mortality. This review highlights the long-term outcomes of the Fontan procedure and management of late sequelae.
dc.language eng
dc.publisher Elsevier BV
dc.relation.ispartof Progress in cardiovascular diseases
dc.relation.isversionof 10.1016/j.pcad.2018.09.005
dc.subject Heart Ventricles
dc.subject Humans
dc.subject Heart Defects, Congenital
dc.subject Fontan Procedure
dc.subject Patient Care Management
dc.subject Hemodynamics
dc.subject Long Term Adverse Effects
dc.title Long Term Consequences of the Fontan Procedure and How to Manage Them.
dc.type Journal article
dc.date.updated 2019-02-01T14:40:43Z
pubs.begin-page 365
pubs.end-page 376
pubs.issue 3-4
pubs.organisational-group School of Medicine
pubs.organisational-group Duke
pubs.organisational-group Medicine, Cardiology
pubs.organisational-group Medicine
pubs.organisational-group Clinical Science Departments
pubs.publication-status Published
pubs.volume 61
duke.contributor.orcid Krasuski, Richard|0000-0003-3150-5215


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