Modeling the fontan circulation: Where we are and where we need to go

被引：50
|
作者：
DeGroff, C. G. [1 ]
机构：
[1] Univ Pittsburgh, Med Ctr, Childrens Hosp Pittsburgh, Pittsburgh, PA 15213 USA
来源：
PEDIATRIC CARDIOLOGY | 2008年 / 29卷 / 01期
关键词：
congenital heart disease; Fontan procedure;
D O I：
10.1007/s00246-007-9104-0
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The Fontan procedure and its subsequent modifications over the past 30 years can be described as a class of surgical procedures for patients born with complex congenital heart disease exhibiting a single-ventricle physiology. The long-term outcome for children currently undergoing a Fontan procedure remains worrisome because of multiple late morbidities observed. Despite significant modeling efforts spanning three decades, improvements to the Fontan procedure have occurred without comprehensive validation from these modeling studies. Careful examination shows that modeling studies to date offer only a "glimpse through a keyhole" into understanding and modeling a representative range of the variations in anatomy and physiology that exist in Fontan patients. Suggestions for future investigations are provided.
引用
收藏
页码：3 / 12
页数：10
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