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Anesth Analg. 2015 Jul;121(1):172-82. doi: 10.1213/ANE.0000000000000717.

Fontan physiology revisited.

Author information

1
From the *Department of Pediatric Cardiac Anesthesia, Boston Children's Hospital, Boston, Massachusetts; and †Department of Pediatric Cardiology, Boston Children's Hospital, Boston, Massachusetts.

Abstract

The Fontan operation places the systemic and pulmonary circulations in series, driven by a single ventricular chamber. It has become the treatment strategy of choice for palliating single-ventricle congenital heart disease. This anatomy engenders profound changes in physiology, affecting the cardiovascular and respiratory systems with direct implications for anesthetic and intensive care. The physical basis of these changes and their sequelae are reviewed.

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PMID:
26086514
DOI:
10.1213/ANE.0000000000000717
[Indexed for MEDLINE]

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