Pulmonary Blood Flow Patterns in Patients With Fontan Circulation

Slides:

Advertisements

Similar presentations

Coronary Artery Bypass for Heart Failure in Ischemic Cardiomyopathy: 17-Year Follow- Up Marco Pocar, MD, PhD, Andrea Moneta, MD, Adalberto Grossi, MD,

Advertisements

Noninvasive Screening for Pulmonary Hypertension by Exercise Testing in Congenital Heart Disease Jan Müller, PhD, Pinar Bambul Heck, MD, Peter Ewert,

Wenrui Ma, MD, Wei Zhang, MD, Wei Shi, MD, Ye Kong, MD, Xinyu Ma, MS

Takeshi Shinkawa, MD, Petros V. Anagnostopoulos, MD, Natalie C

Can Fontan Conversion for Patients Without Late Fontan Complications be Justified? Akihiko Higashida, MD, Takaya Hoashi, MD, PhD, Koji Kagisaki, MD, Masatoshi.

Liver and Cardiac Function in the Long Term After Fontan Operation

Transcatheter or Surgical Aortic Valve Replacement in Patients With Prior Coronary Artery Bypass Grafting John V. Conte, MD, Thomas G. Gleason, MD, Jon.

Late Assessment After Biventricular Repair for Isomerism Heart

Fluid-Dynamic Modeling of the Human Left Ventricle: Methodology and Application to Surgical Ventricular Reconstruction Torsten Doenst, MD, PhD, Kathrin.

Long-Term Outcome of Patients With Complete Atrioventricular Septal Defect Combined With the Tetralogy of Fallot: Staged Repair Is Not Inferior to Primary Repair

C. Wesley Lindsey, MD, W. James Parks, MD, Brian E

Vena Cava Filter Fracture With Migration to the Pulmonary Artery

Resmi KrishnankuttyRema, MS, Lakshmi P

George Gogoladze, MD, Sophia L

Lindsay C.H. John, MD, FRCS The Annals of Thoracic Surgery

Single Ostium of the Right and Left Coronary Artery From the Right Pulmonary Artery Katarzyna Januszewska, MD, PhD, Hans-Gerd Kehl, MD, PhD, Edward Malec,

Contributions of Respiration and Heartbeat to the Pulmonary Blood Flow in the Fontan Circulation Takashi Honda, MD, PhD, Keiichi Itatani, MD, PhD, Manabu.

Anomalous Great Cardiac Vein Draining Into the Superior Vena Cava

Surgical Ventricular Restoration for Advanced Congestive Heart Failure: Should Pulmonary Hypertension Be a Contraindication? Nishant D. Patel, BA, Jason.

John Alfred Carr, MD, Joseph J. Amato, MD, Robert S.D. Higgins, MD

Cardiac Resynchronization Therapy for the Failing Fontan Patient

Origins of the Cardiothoracic Surgery Network (CTSNet)

Impact of Age and Duration of Banding on Left Ventricular Preparation Before Anatomic Repair for Congenitally Corrected Transposition of the Great Arteries

Who Do You Say You Are? The Annals of Thoracic Surgery

Maria Restrepo, BS, Elaine Tang, BEng, Christopher M

Fontan Pathway Growth: A Quantitative Evaluation of Lateral Tunnel and Extracardiac Cavopulmonary Connections Using Serial Cardiac Magnetic Resonance

Use of Amiodarone After Major Lung Resection

Abel Gómez-Caro, MD, Pedro Arguis, MD The Annals of Thoracic Surgery

Anomalous Origin of Left Pulmonary Artery From Left Subclavian Artery

Transventricular Migration of an Inferior Vena Cava Filter Limb

The Ross Procedure in Adults: Long-Term Follow-Up and Echocardiographic Changes Leading to Pulmonary Autograft Reoperation Alessandro Frigiola, MD, Marco.

Maria Kalliopi Konstantinidou, MD, PhD, Neil Moat, MD, PhD

Impact of Age at Fontan Completion on Postoperative Hemodynamics and Long-Term Aerobic Exercise Capacity in Patients With Dominant Left Ventricle Shuichi.

Muhammad Aanish Raees, MBBS, Driss Mazhar, DFGSM, Jason T

Coronary Sinus Orifice Atresia After the Fontan Completion: Unique Repair Technique Shinya Yokoyama, MD, PhD, Takeo Yonekura, MD, PhD, Noboru Nishiwaki,

Embolized Methyl Methacrylate to the Right Atrium After Kyphoplasty

Improved Exercise Performance in Patients With Tricuspid Atresia After the Fontan- Björk Modification With Pulsatile Systolic Pulmonary Flow Masamichi.

Early Development of Congenital Heart Surgery: Open Heart Procedures

Editorial Board, January 2010

Long-Term Survival and Freedom From Reoperation After Placement of a Pulmonary Xenograft Valved Conduit George M. Alfieris, MD, Michael F. Swartz, PhD,

Sarah C. Huen, MD, Chirag R. Parikh, MD, PhD

Severe Two-Vessel Ostial Stenosis of the Main Coronary Arteries in a Patient With Transposition of the Great Arteries After an Arterial Switch Operation

Influence of Bidirectional Cavopulmonary Anastomosis and Concomitant Valve Repair on Atrioventricular Valve Annulus and Function Shunsuke Yamagishi,

Completely Thrombosed Tricuspid Pouch Mimicking a Cardiac Tumor

Successful Neonatal Double Switch in Symptomatic Patients With Congenitally Corrected Transposition of the Great Arteries Victor Bautista-Hernandez,

The Unifocal Bilateral Bidirectional Cavopulmonary Anastomosis

Additional Pulmonary Blood Flow Has No Adverse Effect on Outcome After Bidirectional Cavopulmonary Anastomosis Pascal A. Berdat, MD, Emré Belli, MD,

Natural History of Exercise Capacity After the Fontan Operation: A Longitudinal Study Alessandro Giardini, MD, Alfred Hager, MD, Carlo Pace Napoleone,

Tracheal Reconstruction in the Pediatric Population: How I Teach It

Ascending Aortic Pseudoaneurysm as an Unusual Cause of Superior Vena Cava Syndrome Zhiqi Zhang, MD, Kanhua Yin, MD, Yongxin Sun, MD, PhD, Chunsheng Wang,

Christopher E. Mascio, MD, Christopher L. Johnsrude, MD, Edward S

Massimo Meco, MD, Silvia Cirri, MD The Annals of Thoracic Surgery

Caval Blood Flow During Supine Exercise in Normal and Fontan Patients

Invited Commentary The Annals of Thoracic Surgery

Dual Inferior Vena Cava: Two Inferior Vena Cava Filters

Hypoplastic Left Heart Syndrome With Anomalous Origin of the Right Coronary Artery Julie Cleuziou, MD, Felix Haas, MD, Christian Schreiber, MD, Hans-Jörg.

A Target for Perioperative Blood Pressure During Cardiac Operations

Pulmonary Embolectomy for Acute Massive Pulmonary Embolism

Uncontrolled Antegrade Pulmonary Blood Flow and Delayed Fontan Completion After the Bidirectional Glenn Procedure: Real-World Outcomes in China Tao Zhang,

Reversibility of Cardiac Dysfunction After Valve Replacement in Elderly Patients With Severe Aortic Stenosis Masafumi Natsuaki, MD, Tsuyoshi Itoh, MD,

Christopher M. Haggerty, PhD, Kevin K

Totally Extracardiac Maze Procedure Performed on the Beating Heart

Temporary Fenestration Using Venoatrial Extracorporeal Membrane Oxygenation After the Fontan Operation Yun Hee Chang, MD, Hyungtae Kim, MD, Si Chan Sung,

Early Surgical Correction of Atrioventricular Valvular Regurgitation in Single-Ventricle Patients Jae Gun Kwak, MD, Chun Soo Park, MD, Chang-Ha Lee,

Medium-Term Outcomes of Kawashima and Completion Fontan Palliation in Single- Ventricle Heart Disease With Heterotaxy and Interrupted Inferior Vena Cava

John M. Stulak, MD, Harold M. Burkhart, MD, Joseph A

The Impact of New Technology on Cardiothoracic Surgical Practice

Self-Management of Oral Anticoagulation Therapy Improves Long-Term Survival in Patients With Mechanical Heart Valve Replacement Heinrich Koertke, MD,

Hilum-to-Hilum Gore-Tex Tube Replacement of Central Pulmonary Arteries

Heart Transplant Program Volume Is Not a Measure of Quality

Presentation transcript:

Pulmonary Blood Flow Patterns in Patients With Fontan Circulation Alfred Hager, MD, Sohrab Fratz, MD, Markus Schwaiger, MD, Rüdiger Lange, MD, John Hess, MD, Heiko Stern, MD The Annals of Thoracic Surgery Volume 85, Issue 1, Pages 186-191 (January 2008) DOI: 10.1016/j.athoracsur.2007.07.029 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Comparison of blood flow patterns. The x-axis shows the phase of the cardiac cycle from phase 1 as the start of the systole to phase 100 (= 0) as the end of diastole. The y-axis shows the flow normalized to the mean blood flow in that vessel, with 0 and 1 representing no and mean blood flows, respectively. The bar at the bottom outlines the period of systole estimated from the mean heart rate. (A) Pulmonary artery of 17 patients after Fontan surgery. (B) Superior vena cava of 12 healthy control subjects. (C) Pulmonary artery of 12 healthy control subjects. The Annals of Thoracic Surgery 2008 85, 186-191DOI: (10.1016/j.athoracsur.2007.07.029) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Averaged blood flow pattern, outlining the typical peaks and troughs, in the pulmonary artery of 17 patients after Fontan surgery (heavy solid line), compared with that in the superior vena cava (×) and in the pulmonary artery (○) of 12 healthy control subjects. The x-axis shows the phase of the cardiac cycle and the y-axis shows the normalized flow. The pulmonary artery of Fontan patients showed no typical patterns, except for a slight late diastolic peak, the superior vena cava of the control subjects showed a clear systolic flow peak decelerating into early diastole, and the pulmonary artery of control subjects showed flow almost confined to a single systolic peak. The Annals of Thoracic Surgery 2008 85, 186-191DOI: (10.1016/j.athoracsur.2007.07.029) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Blood flow patterns in the pulmonary artery of 17 patients with various modifications of Fontan surgery. The x-axis shows the phase of the cardiac cycle and the y-axis the normalized flow. There was no significant difference in the patterns between the 3 patients with atrioventricular connection (▵), the 9 patients with atriopulmonary connection (○), and the 5 patients with total cavopulmonary connection (×). The Annals of Thoracic Surgery 2008 85, 186-191DOI: (10.1016/j.athoracsur.2007.07.029) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Blood flow patterns in the pulmonary artery of 17 patients after Fontan surgery with various degrees of atrioventricular valve regurgitation. The x-axis shows the phase of the cardiac cycle and the y-axis the normalized flow. There was no significant difference in the patterns between the 13 patients with trivial or no atrioventricular valve regurgitation (●) compared with the 4 patients with mild or moderate regurgitation (×). The Annals of Thoracic Surgery 2008 85, 186-191DOI: (10.1016/j.athoracsur.2007.07.029) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions