WJCS  Vol.4 No.4 , April 2014
Assessment of Contractility for Fontan Connections
ABSTRACT
This study is performed to investigate the effect of Fontan operations on cardiac contractility. Investigation of articles about the contractility in Fontan published in PubMed up to now revealed that the measurement of contractility values did not include the rudimentary ventricle. Connections between right atrium and right ventricle as well as right atrium and pulmonary artery were studied in the same group as well. In our opinion, for the single ventricular physiology, the RA-RV and RA-PA connected patients’ preload and afterload values cannot be calculated in the same group since volume of rudimentary ventricles must be considered from this point of view as well.

Cite this paper
Kestelli, M. and Bozok, S. (2014) Assessment of Contractility for Fontan Connections. World Journal of Cardiovascular Surgery, 4, 47-50. doi: 10.4236/wjcs.2014.44008.
References
[1]   Cowgill, L.D. (1991) The Fontan Procedure: A Historical Review. The Annals of Thoracic Surgery, 51, 1026-1030. http://dx.doi.org/10.1016/0003-4975(91)91044-V

[2]   Akagi, T., Benson, L.N., Willams, W.G. and Freedom, R.M. (1993) Regional Ventricular Wall Motion Abnormalities in Tricuspid Atresia after the Fontan Operation. Journal of the American College of Cardiology, 22, 1182-1188. http://dx.doi.org/10.1016/0735-1097(93)90435-4

[3]   Chin, A.J., Franklin, W.H., Andrews, B.A. and Norwood, W.I. (1993) Changes in Ventricular Geometry Early after Fontan Operation. The Annals of Thoracic Surgery, 56, 1359-1365.
http://dx.doi.org/10.1016/0003-4975(93)90682-8

[4]   Seliem, M., Muster, A.J., Paul, H.M. and Benson, D.W. (1989) Relation between Preoperative Left Ventricular Muscle Mass and Outcome of the Fontan Procedure in Patients with Tricuspid Atresia. Journal of the American College of Cardiology, 14, 750-755. http://dx.doi.org/10.1016/0735-1097(89)90121-6

[5]   Graham, T.P., Franklin Jr., R.C., Wyse, R.K., Gooch, V. and Deanfield, J.E. (1986) Left Ventricular Wall Stress and Contractile Function in Childhood: Normal Values and Comparison of Fontan Repair versus Palliation Only in Patients with Tricuspid Atresia. Circulation, 74, I61-I69.

[6]   Rhodes, J., Garofano, R.P., Bowman, F.O., Grant, G.P., Bierman, F.Z. and Gersony, W.M. (1990) Effect of Right Ventricular Anatomy on the Cardiopulmonary Response to Exercise. Circulation, 81, 1811-1817. http://dx.doi.org/10.1161/01.CIR.81.6.1811

[7]   Gewillig, M.H., Lundstrom, U.R., Deanfield, J.E., Bull, C., Franklin, C.R., Graham, P.T., et al. (1990) Impact of Fontan Operation on the Left Ventricular Size and Contractility in Tricuspid Atresia. Circulation, 81, 118-127. http://dx.doi.org/10.1161/01.CIR.81.1.118

[8]   Sluysmans, T., Sanders, S.P., vander Velde, M., Matitiau, A., Parness, I.A., Spevak, P.J., et al. (1992) Natural History and Patterns of Recovery of Contractile Function in Single Left Ventricle after Fontan Operation. Circulation, 86, 1753-1761. http://dx.doi.org/10.1161/01.CIR.86.6.1753

[9]   Kouatli, A.A., Garcia, J.A., Zellers, T.M., Weinstein, E.M. and Mahony, L. (1997) Enalapril Does Not Enhance Exercise Capacity in Patients after Fontan Procedure. Circulation, 96, 1507-1512.
http://dx.doi.org/10.1161/01.CIR.96.5.1507

[10]   Sandor, G.G., Patterson, M.W. and LeBlanc, J.G. (1994) Systolic and Diastolic Function in Tricuspid Valve Atresia before the Fontan Operation. The American Journal of Cardiology, 73, 292-297. http://dx.doi.org/10.1016/0002-9149(94)90236-4

[11]   Sano, T., Ogawa, M., Taniguchi, K., Matsuda, H., Nakajima, T., Arisawa, J., et al. (1989) Assessment of Ventricular Contractile State and Function in Patients with Univentricular Heart. Circulation, 79, 1247-1256. http://dx.doi.org/10.1161/01.CIR.79.6.1247

[12]   Weipert, J., Koch, W., Haehnel, J.C. and Meisner, H. (1997) Exercise Capacity and Mid-Term Survival in Patients with Tricuspid Atresia and Complex Congenital Cardiac Malformations after Modified Fontan-Operation. European Journal of Cardio-Thoracic Surgery, 12, 574-580. http://dx.doi.org/10.1016/S1010-7940(97)00220-0

[13]   Giroud, J.M. and Jacobs, J.P. (2006) Fontan’s Operation: Evolution from a Procedure to a Process. Cardiology in the Young, 16, 67-71. http://dx.doi.org/10.1017/S1047951105002350

[14]   Batista, R.J., Verde, J., Nery, P., Bocchino, L., Takeshita, N., Bhayana, J.N., et al. (1997) Partial Left Ventriculectomy to Treat End-Stage Heart Disease. The Annals of Thoracic Surgery, 64, 634-638. http://dx.doi.org/10.1016/S0003-4975(97)00779-0

[15]   Kestelli, M., Emrecan, B., Lafci, B., Ozsoyler, I., Yilik, L., Ozbek, C., et al. (2006) A Pulmonary Ventricle System Producing Pulsatile Pressure in Single Ventricle: Experimental Model. Brazilian Journal of Cardiovascular Surgery, 21, 324-327. http://dx.doi.org/10.1590/S0102-76382006000300012

 
 
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