The Fontan circulation: a challenge to William Harvey?

被引:108
作者
de Leval, MR [1 ]
机构
[1] Great Ormond St Hosp Sick Children, London WC1N 3JH, England
来源
NATURE CLINICAL PRACTICE CARDIOVASCULAR MEDICINE | 2005年 / 2卷 / 04期
关键词
congenital heart disease; Fontan circulation; single ventricle;
D O I
10.1038/ncpcardio0157
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The Fontan operation, which places the systemic and pulmonary circulations in series and is driven by a single ventricular chamber, is the treatment of choice for patients born with one ventricle. Its introduction 35 years ago was the result of a flurry of experimental and clinical research that had started in the 1940s. A large number of children have benefited and continue to benefit from the Fontan operation, but there is a genuine concern that, despite the refinement of the surgical procedures in the past 20 years, continuing attrition might be inevitable. This adverse effect can lead to a decline in functional capacity, and premature late death.
引用
收藏
页码:202 / 208
页数:7
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