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Advancing Cor Triatriatum in Fontan Circulation

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Presentation on theme: "Advancing Cor Triatriatum in Fontan Circulation"— Presentation transcript:

1 Advancing Cor Triatriatum in Fontan Circulation
Yusuke Misumi, MD, Takaya Hoashi, MD, PhD, Koji Kagisaki, MD, Hajime Ichikawa, MD, PhD  The Annals of Thoracic Surgery  Volume 95, Issue 4, Pages (April 2013) DOI: /j.athoracsur Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) Transthoracic echocardiography 10 years after Fontan operation. (B) Accelerated blood flow in the left atrium was detected. White arrows indicate an abnormal septum. (LA = left atrium. PV = pulmonary vein.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 A resected abnormal septum specimen showing a fivefold thicker endocardium compared with a normal atrial wall. (Masson's trichrome stain; scale bar, 0.5 mm.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Chronologic changes in pulmonary arterial pressure (PAP), pulmonary capillary wedged pressure (PCWP), pulmonary vascular resistance (Rp), systemic ventricle end-diastolic volume (SVEDV), and systemic ventricle ejection fraction (SVEF) after Fontan operation. Gradually decreasing systemic ventricular end-diastolic volume after Fontan completion was observed, whereas pulmonary vascular resistance and pulmonary arterial pressure remained unchanged. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions


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