Fontan Physiology Revisited

被引：65

作者：

Jolley, Matthew ^{[1
,2
]}

Colan, Steven D. ^{[2
]}

Rhodes, Jonathan ^{[2
]}

DiNardo, James ^{[1
]}

机构：

[1] Boston Childrens Hosp, Dept Pediat Cardiac Anesthesia, Boston, MA 02115 USA

[2] Boston Childrens Hosp, Dept Pediat Cardiol, Boston, MA 02115 USA

来源：

ANESTHESIA AND ANALGESIA | 2015年 / 121卷 / 01期

关键词：

TOTAL-CAVOPULMONARY CONNECTION; PULMONARY VASCULAR-RESISTANCE; NEGATIVE-PRESSURE VENTILATION; BIDIRECTIONAL GLENN PROCEDURE; SUBDIAPHRAGMATIC VENOUS HEMODYNAMICS; EXTRACORPOREAL MEMBRANE-OXYGENATION; RIGHT ATRIAL PRESSURE; CAVAL BLOOD-FLOW; RIGHT VENTRICLE; CARDIAC-OUTPUT;

D O I：

10.1213/ANE.0000000000000717

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

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.

引用

页码：172 / 182

页数：11

共 108 条

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