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Experience with SGLT2 Inhibitors in Patients with Single Ventricle Congenital Heart Disease and Fontan Circulatory Failure
Heart failure is the leading cause of morbidity and mortality in patients with Fontan circulation. Sodium-glucose-cotransporter 2 inhibitors (SGLT2i)...
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The Lifesaving Impact of Transcatheter Interventions in the Early Post-Fontan Palliation Period
Despite advancements in postoperative outcomes after Fontan surgery, there remains a risk of suboptimal outcomes and significant morbidity in the...
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Pre-Fontan Assessment Utilizing Combined Cardiac Catheterization and Cardiac MRI: Comparison to the Pre-Fontan Catheterization
Single ventricle patients eligible for Fontan completion undergo pre-Fontan catheterization for hemodynamic and anatomic assessment prior to surgery....
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Acute Kidney Injury and Mid-term Outcomes After Extra-Cardiac Fontan Conversion
The aim of this study was to investigate the association of postoperative acute kidney injury and unplanned re-admission rate due to heart failure at...
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Univentricular Congenital Heart Defects and the Fontan Circulation Practical Manual for Patient Management
This book provides a concise, practically applicable guide to the management of patients born with a univentricular heart defect. It describes the...
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Atrial Arrhythmias in Adults with Fontan Palliation
Single ventricle physiology is a rare form of congenital heart disease and was, historically, a uniformly lethal condition. However, the...
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Detection of hepatocellular carcinoma during Fontan-associated liver disease follow-up: a report of three cases
We herein demonstrate three patients diagnosed with early hepatocellular carcinoma (HCC) during follow-up for Fontan-associated liver disease (FALD)....
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Body composition in patients with Fontan physiology: a systematic review
Fontan circulation is a highly abnormal circulatory state that may affect various organ systems. The effect on body composition is an important...
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Impact of Atrial Pacing in Fontan Patients with Junctional Rhythm: A Prospective Echocardiographic Study
Sinus node dysfunction (SND) with junctional rhythm (JR) is common after the Fontan operation. Atrial pacing (AP) restores atrioventricular (AV)...
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Use of a Postoperative Care Management Pathway Reduces the Incidence of Chylothorax Post-Fontan Palliation
Pleural effusions and chylothorax are challenging morbidities post-Fontan palliation. We sought to evaluate the efficacy of our Fontan Care Pathway...
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Long-Term Renal Involvement in Association with Fontan Circulation
Multiorgan dysfunction is a concern of Fontan patients. To clarify the pathophysiology of Fontan nephropathy, we characterize renal disease in the...
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Sizing Up Fontan Failure: Association with Increasing Weight in Adulthood
Obesity has become increasingly recognized in adults with Fontan palliation, yet the relationship between weight changes in adulthood and Fontan...
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Central Venous Waveform Patterns in the Fontan Circulation Independently Contribute to the Prediction of Composite Survival
It is well appreciated that the Fontan circulation perturbs central venous hemodynamics, with elevated pressure being the clearest change associated...
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Cardiac and Liver Fibrosis Assessed by Multiparametric MRI in Patients with Fontan Circulation
The abnormal hemodynamics in Fontan circulation due to persistently increased systemic venous pressure results in hepatic venous congestion and...
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High Prevalence of Abnormal Hemoglobin A1c in the Adolescent and Young Adult Fontan Population
Little is known about diabetes risk in adolescents and young adults with Fontan palliation. We sought to understand the prevalence of abnormal...
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Fontan-Associated Liver Disease and the Double Organ Transplant: Addressing the Heart of the Argument
Purpose of ReviewDescribe the history, background, histopathology, and current practices of Fontan-associated liver disease (FALD), a universal...
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Ideal chest compression site for cardiopulmonary resuscitation in fontan circulation patients with dextrocardia
BackgroundWe aimed to identify the ideal chest compression site for cardiopulmonary resuscitation (CPR) in patients with a single ventricle with...
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27 years of experience with the Fontan procedure: characteristics and clinical outcomes of children in a tertiary referral hospital
BackgroundThe Fontan operation has improved the survival of children born with congenital heart disease with single ventricle physiology. The most...
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Impact of pulmonary artery flow distribution on Fontan hemodynamics and flow energetics
BackgroundWith improved life expectancy following Fontan palliation, there is an increasing population of patients with a total cavopulmonary...
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Pros and Cons of Fontan Fenestration: a Review of the Recent Literature
Purpose of ReviewCurrently, there is no clear consensus about risk–benefit profile of placing a fenestration in the Fontan circulation, much less if...