DOI QR코드

DOI QR Code

Evaluation of Pulmonary Blood Flow Pulsatility in Patients Undergoing Various Fontan Palliation Techniques

  • Soo In Jeong (Department of Pediatrics, Ajou University Hospital, Ajou University School of Medicine)
  • Received : 2021.11.15
  • Accepted : 2022.01.04
  • Published : 2022.04.27

Abstract

Keywords

References

  1. Rychik J, Atz AM, Celermajer DS, et al. Evaluation and management of the child and adult with Fontan circulation: a scientific statement from the American Heart Association. Circulation 2019;140:e234-84.  https://doi.org/10.1161/CIR.0000000000000696
  2. Gewillig M, Goldberg DJ. Failure of the Fontan circulation. Heart Fail Clin 2014;10:105-16.  https://doi.org/10.1016/j.hfc.2013.09.010
  3. Gewillig M, Brown SC. The Fontan circulation after 45 years: update in physiology. Heart 2016;102:1081-6.  https://doi.org/10.1136/heartjnl-2015-307467
  4. Zongtao Y, Huishan W, Zengwei W, et al. Experimental study of nonpulsatile flow perfusion and structural remodeling of pulmonary microcirculation vessels. Thorac Cardiovasc Surg 2010;58:468-72.  https://doi.org/10.1055/s-0030-1250124
  5. Raj JU, Kaapa P, Anderson J. Effect of pulsatile flow on microvascular resistance in adult rabbit lungs. J Appl Physiol (1985) 1992;72:73-81.  https://doi.org/10.1152/jappl.1992.72.1.73
  6. Henaine R, Vergnat M, Bacha EA, et al. Effects of lack of pulsatility on pulmonary endothelial function in the Fontan circulation. J Thorac Cardiovasc Surg 2013;146:522-9.  https://doi.org/10.1016/j.jtcvs.2012.11.031
  7. Presson RG Jr, Baumgartner WA Jr, Peterson AJ, Glenny RW, Wagner WW Jr. Pulmonary capillaries are recruited during pulsatile flow. J Appl Physiol (1985) 2002;92:1183-90.  https://doi.org/10.1152/japplphysiol.00845.2001
  8. Ovroutski S, Ewert P, Alexi-Meskishvili V, et al. Absence of pulmonary artery growth after Fontan operation and its possible impact on late outcome. Ann Thorac Surg 2009;87:826-31.  https://doi.org/10.1016/j.athoracsur.2008.10.075
  9. Kalia K, Walker-Smith P, Ordonez MV, et al. Does maintenance of pulmonary blood flow pulsatility at the time of the Fontan operation improve hemodynamic outcome in functionally univentricular hearts? Pediatr Cardiol 2021;42:1180-9.  https://doi.org/10.1007/s00246-021-02599-w
  10. Klimes K, Abdul-Khaliq H, Ovroutski S, et al. Pulmonary and caval blood flow patterns in patients with intracardiac and extracardiac Fontan: a magnetic resonance study. Clin Res Cardiol 2007;96:160-7. https://doi.org/10.1007/s00392-007-0470-z
  11. Ha KS, Choi JY, Jung SY, Park HK. Characterization of flow efficiency, pulsatility, and respiratory variability in different types of Fontan circuits using quantitative parameters. Yonsei Med J 2019;60:56-64.  https://doi.org/10.3349/ymj.2019.60.1.56
  12. Shabanian R, Akbari Asbagh P, Sedaghat A, et al. Pulsatility index in different modifications of Fontan palliation: an echocardiographic assessment. J Cardiovasc Imaging 2022;30:99-108. https://doi.org/10.4250/jcvi.2021.0133