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- W2308313812 abstract "years after introduction of the operation there are a lot of doubts regarding the treatment strategy for patients with a single ventricle. With the progress in medical science, the number of patients with a univentricular heart is steadily grow- ing, and growing at the same time is the population of patients who do not tolerate the haemodynamics. In this group with time there occurs impairment of ventricular function and heart failure, regurgitation of the atrioventricular valves, pro- tein-losing enteropathy, hepatic failure, progressive cyanosis, thromboembolic complications, development of fistulas in the lungs and arrhythmias. If the causes of complications are ana- tomical problems or arrhythmias, which are possible to repair, reoperation or intervention may improve the condition of the patient. However, there is a group of patients where the only real option is a cardiac transplantation. Heart transplantation after the operation is technically difficult and requires coordination of many activities. Another option, which is cur- rently in the experimental stage, is implantation of a mechani- cal assist system in the circulation (cavopulmonary as- sist), to reverse the so-called Fontan paradox." @default.
- W2308313812 created "2016-06-24" @default.
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- W2308313812 date "2012-01-01" @default.
- W2308313812 modified "2023-09-27" @default.
- W2308313812 title "Fontan operation - where are we, where are we going?" @default.
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