Mechanical Circulatory Support for the Failing Fontan: Conversion to Assisted Single Ventricle Circulation—Preliminary Observations

Peer, Syed Murfad; Deatrick, Kristopher B; Johnson, Thomas J.; Haft, Jonathan W.; Pagani, Francis D.; Bove, Edward L.; Rojas-Peña, Álvaro; Si, Ming‐Sing

doi:10.1177/2150135117733968

Cited by 8 publications

(6 citation statements)

References 30 publications

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“…As a rare congenital heart disease, the Tausing - Bing anomaly is the third most common type of DORV[ 5 ]. So far, the Fontan operation was the only treatment option to change the anatomy of the heart and help improve patients’ hemodynamics[ 1 ]. After successful operation, patients typically recover the ability to engage in general physical activity.…”

Section: Discussionmentioning

confidence: 99%

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Extracorporeal membrane oxygenation in curing a young man after modified Fontan operation: A case report

Guo¹,

Tan²,

Cui³

et al. 2022

World J Clin Cases

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BACKGROUND The Fontan operation is the only treatment option to change the anatomy of the heart and help improve patients’ hemodynamics. After successful operation, patients typically recover the ability to engage in general physical activity. As a better ventilatory strategy, extracorporeal membrane oxygenation (ECMO) provides gas exchange via an extracorporeal circuit, and is increasingly being used to improve respiratory and circulatory function. After the modified Fontan operation, circulation is different from that of patients who are not subjected to the procedure. This paper describe a successful case using ECMO in curing influenza A infection in a young man, who was diagnosed with Tausing-Bing syndrome and underwent Fontan operation 13 years ago. The special cardiac structure and circulatory characteristics are explored in this case. CASE SUMMARY We report a successful case using ECMO in curing influenza A infection in a 23-year-old man, who was diagnosed with Tausing-Bing syndrome and underwent Fontan operation 13 years ago. The man was admitted to the intensive care unit with severe acute respiratory distress syndrome as a result of influenza A infection. He was initially treated by veno-venous (VV) ECMO, which was switched to veno-venous-arterial ECMO (VVA ECMO) 5 d later. As circulation and respiratory function gradually improved, the VVA ECMO equipment was removed on May 1, 2018. The patient was successfully withdrawn from artificial ventilation on May 28, 2018 and then discharged from hospital on May 30, 2018. CONCLUSION After the modified Fontan operation, circulation is different compared with that of patients who are not subjected to the procedure. There are certainly many differences between them when they receive the treatment of ECMO. Due to the special cardiac structure and circulatory characteristics, an individualized liquid management strategy is necessary and it might be better for them to choose an active circulation support earlier.

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Section: Discussionmentioning

confidence: 99%

“…The Fontan operation is the only treatment option to change the anatomy of the heart and help improve patients’ hemodynamics[ 1 ]. The patient’s circulation after the Fontan surgery is different from that of a normal patient.…”

Section: Introductionmentioning

confidence: 99%

Extracorporeal membrane oxygenation in curing a young man after modified Fontan operation: A case report

Guo¹,

Tan²,

Cui³

et al. 2022

World J Clin Cases

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show abstract

“…As a rare congenital heart disease, the Tausing-Bing anomaly (TBA) is the third most common type of DORV [6]. So far, the Fontan operation was the only treatment option to change the anatomy of the heart and help improve patients' hemodynamics [1]. After successful operation, patients typically recover the ability to engage in general physical activity.…”

Section: Discussionmentioning

confidence: 99%

“…As we all known, the Fontan operation was the only treatment option to change the anatomy of the heart and help improve patients' hemodynamics [1]. The patient's circulation after the Fontan surgery was different than that of a normal patient.…”

Section: Introductionmentioning

confidence: 99%

Case Report: Extracorporeal Membrane Oxygenation In Curing A Young Man Post-Operative of The Modified Fontan Operation

Guo

Tan

Cui

et al. 2021

Preprint

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Background: The Fontan operation is the only treatment option to change the anatomy of the heart and help improve patients’ hemodynamics. After successful operation, patients typically recover the ability to engage in general physical activity. The mortality of patients diagnosed with acute respiratory distress syndrome (ARDS) ranges from 17.3 to 41.4% among critically ill patients with H1N1 infection. As a better ventilatory strategy, extracorporeal membrane oxygenation (ECMO) provides gas exchange via an extracorporeal circuit, and is increasingly being used to improve respiratory and circulatory function. As is known to all, after the modified Fontan operation, circulation was different compared with patients who were not subjected to the procedure. But very few articles describe the special circulation about the case who was post-operative of the modified Fontan operation especially when it received the treatment of E-CMO. This study aims to describe a successful case using E-CMO in curing the influenza A infection in a young man, who was diagnosed with Tausing-Bing syndrome and underwent Fontan operation thirteen years ago. We want to explore the special cardiac structure and circulatory characteristics in this case.Methods: To report a successful case using extracorporeal membrane oxygenation in curing the influenza A infection in a young man, who was diagnosed with Tausing-Bing syndrome and underwent Fontan operation thirteen years ago. In this article, we describe a 23-year-old man, with a history of modified Fontan operation for the Tausing-Bing syndrome, admitted to ICU with severe acute respiratory distress syndrome as a result of influenza A infection. The man was initially treated by V-V ECMO, five days later was switched to V-V-A E-CMO. Results: As circulation and respiratory function gradually improved, the VV-A ECMO equipment was removed on May 1, 2018.The patient was successfully withdrawn from artificial ventilation on May 28, 2018, then discharged from hospital on May 30, 2018.Conclusion: After the modified Fontan operation, circulation was different compared with patients who were not subjected to the procedure. There were certainly many differences between the two sides when they received the treatment of E-CMO. As the special cardiac structure and circulatory characteristics, an individualized liquid management strategy was necessary and it might be better for them to choose an active cycle support earlier.

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“… neonatal palliation, including Norwood Stage I  superior cavo-pulmonary shunt (bidirectional Glenn)  completion of Fontan circulation (early and late) Several reports are available on the indication and the type of mechanical circulatory support utilized for each stage (235)(236)(237)(238)(239)(240)(241).…”

Section: Mechanical Circulatory Supportmentioning

confidence: 99%

Narrative review of single ventricle: where are we after 40 years?

Corno¹,

Findley²,

Salazar³

2023

Transl Pediatr

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Background and Objective: Key medical and surgical advances have been made in the longitudinal management of patients with "functionally" single ventricle physiology, with the principles of Fontan circulation applied to other complex congenital heart defects. The purpose of this article is to review all of the innovations, starting from fetal life, that led to a change of strategy for single ventricle.Methods: Our literature review included all full articles published in English language on the Cochrane, MedLine, and Embase with references to "single ventricle" and "univentricular hearts", including the initial history of the treatments for this congenital heart defects as well as the innovations reported within the last decades.

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Mechanical Circulatory Support for the Failing Fontan: Conversion to Assisted Single Ventricle Circulation—Preliminary Observations

Cited by 8 publications

References 30 publications

Extracorporeal membrane oxygenation in curing a young man after modified Fontan operation: A case report

Extracorporeal membrane oxygenation in curing a young man after modified Fontan operation: A case report

Case Report: Extracorporeal Membrane Oxygenation In Curing A Young Man Post-Operative of The Modified Fontan Operation

Narrative review of single ventricle: where are we after 40 years?

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