Academic Journal
Fontan Failure in Adult Patients: From Physiology to Solutions.
| Τίτλος: | Fontan Failure in Adult Patients: From Physiology to Solutions. |
|---|---|
| Συγγραφείς: | Karev EA; Functional Diagnostics, Federal State Budgetary Institution 'V.A. Almazov National Medical Research Center' of the Ministry of Health of the Russian Federation, Saint Petersburg, Russian Federation., Stovpyuk OF; Functional Diagnostics, Federal State Budgetary Institution 'V.A. Almazov National Medical Research Center' of the Ministry of Health of the Russian Federation, Saint Petersburg, Russian Federation., Alekseeva DV; Functional Diagnostics, Federal State Budgetary Institution 'V.A. Almazov National Medical Research Center' of the Ministry of Health of the Russian Federation, Saint Petersburg, Russian Federation., Malishevskaya DS; International Heart Center, Saint Petersburg, Russian Federation., Malishevsky LM; Tomsk National Research Medical Center of the Ministry of Health of the Russian Federation, Tomsk, Russian Federation., Avramenko AA; Federal State Budgetary Educational Institution of Higher Education, 'Samara State Medical University' of the Ministry of Healthcare of the Russian Federation, Samara, Russian Federation. |
| Πηγή: | World journal for pediatric & congenital heart surgery [World J Pediatr Congenit Heart Surg] 2026 Nov; Vol. 17 (6), pp. 821-833. Date of Electronic Publication: 2026 Jun 11. |
| Τύπος έκδοσης: | Journal Article; Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Sage Publications Country of Publication: United States NLM ID: 101518415 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2150-136X (Electronic) Linking ISSN: 21501351 NLM ISO Abbreviation: World J Pediatr Congenit Heart Surg Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Thousand Oaks, CA : Sage Publications |
| Ιατρικοί όροι (MeSH): | Fontan Procedure*/adverse effects , Heart Defects, Congenital*/surgery , Heart Defects, Congenital*/physiopathology , Heart Failure*/etiology , Heart Failure*/physiopathology , Postoperative Complications*/physiopathology, Humans ; Adult ; Treatment Failure |
| Περίληψη: | The adult population with congenital heart defects of varying complexity is growing rapidly. This includes a significant number of patients over the age of 18 who underwent surgery in early childhood to correct conotruncal anomalies and septal defects. While patients with a functional single ventricle palliated with the Fontan procedure are still relatively rare in developing countries, the expertise gained from managing these patients in expert centers in Europe and the United States of America, as well as the success of pediatric cardiac surgery, has drawn increasing attention to this subject. In this review article, we aim to discuss the unique pathophysiology of Fontan circulation and clinical issues in the management of adult patients, with a particular focus on identifying specific predictors of heart failure decompensation and potential complications in this population. |
| Competing Interests: | Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Contributed Indexing: | Keywords: Fontan circulation; adult congenital heart disease; cardiac transplant; heart failure; lymphatic complications |
| Entry Date(s): | Date Created: 20260611 Date Completed: 20260930 Latest Revision: 20260930 |
| Update Code: | 20260930 |
| DOI: | 10.1177/21501351261443997 |
| PMID: | 42272421 |
| Βάση Δεδομένων: | MEDLINE |
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