RT Journal Article
A1 Balaji, Seshadri
A1 Rychik, Jack
A1 Moore, Jeremy P.
T1 Fontan Junctional Rhythm—Innocent Bystander or Silent Killer?
JF JAMA Cardiology
JO JAMA Cardiol
YR 2024
DO 10.1001/jamacardio.2024.0689
SN 2380-6583
AB The Fontan operation for single-ventricle hearts alleviates cyanosis but creates a hemodynamically fragile circulation. Without a right ventricle, pulmonary flow is driven by venous pressure, making it the limiting factor for cardiac output. Furthermore, the obligatory rise in central venous pressure leads to hepatic and splanchnic congestion. Consequently, long-term consequences include Fontan failure (FF) and hepatic congestion resulting in Fontan-associated liver disease (FALD).
RD 5/20/2024
UL https://doi.org/10.1001/jamacardio.2024.0689