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- W4200486411 abstract "This chapter reviews the physiologic characteristics of a Fontan circulation followed by a discussion of the echocardiographic evaluation. A Fontan circulation is offered to patients with severe congenital heart disease who have only one functional single ventricle (FSV) or those in whom the ventricular cavity cannot be partitioned into two adequate pumps. The FSV volume load evolves from excessive during fetal life and initial palliation to chronic deprivation after creation of the cavopulmonary shunts. Atrioventricular (AV) valve regurgitation and FSV diastolic function are important determinants of atrial pressure. A characteristic feature of the Fontan circuit is the lack of pulsatile pulmonary blood flow through the pulmonary vascular bed. In the Fontan circuit, pulmonary blood flow will increase with inspiration and decrease with expiration following respiratory variations in intrathoracic pressure. The development of diastolic dysfunction is probably one of the most important ventricular problems after Fontan palliation." @default.
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- W4200486411 date "2021-09-17" @default.
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- W4200486411 title "Echocardiographic Assessment of Functional Single Ventricles after the Fontan Operation" @default.
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