Venous Shunts and the Fontan Circulation in Adult Congenital Heart Disease

Mavroudis, Constantine; Deal, Barbara J.; Backer, Carl L.

doi:10.1016/b978-0-7020-3426-8.00011-3

Cited by 6 publications

(6 citation statements)

References 25 publications

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“…Treatment of single ventricle defects includes 3 separate cardiac operations in the first 3 years of life (Figure 1). 2 First, as an infant, the child will undergo a Blalock-Taussig-Thomas (BTT) shunt.…”

Section: Introduction To Fontan Anatomy and Physiologymentioning

confidence: 99%

Management of Fontan circulation in pregnancy: a multidisciplinary approach to care

Wolfe

Sabol

Kelly

et al. 2021

American Journal of Obstetrics & Gynecology MFM

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Section: Introduction To Fontan Anatomy and Physiologymentioning

confidence: 99%

Management of Fontan circulation in pregnancy: a multidisciplinary approach to care

Wolfe

Sabol

Kelly

et al. 2021

American Journal of Obstetrics & Gynecology MFM

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“…If the patient also has a left-sided SVC, the procedure is repeated on the left. 8 Fontan operation-18 to 36 months after Glenn. IVC is channelled to pulmonary artery.…”

Section: Resultsmentioning

confidence: 99%

MSCT imaging of various shunts and grafts in post operative cases of congenital heart diseases

Rana¹,

Sheth²,

Patel³

et al. 2019

Int J Res Med Sci

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Background: Multi-slice computed tomography (MSCT) plays an important role in clinical practice in assessing post-operative patients with complex CHD when echocardiography is not contributory. Despite the great capabilities of MR imaging for anatomic and functional assessment of the heart, it is time-consuming and may require a lengthy period of patient sedation; hence its use in seriously ill or uncooperative patients is often limited. CT has the advantages of widespread availability and short acquisition times. It is imperative for a radiologist to be aware of various palliative as well as corrective procedures and their various imaging findings. Aim of this article is to demonstrate and make one aware of various checklists and imaging findings in paediatric patients who have undergone various shunts and grafts at our tertiary cardiac care centre, their immediate as well as long term complications.Methods: We studied a total of 100 paediatric patients (<12 years old), who had undergone some sort of palliative or corrective shunt or graft placement, on MSCT during the period 2014 to 2018 at our tertiary cardiac care centre.Results: We try to outline details of various shunts and grafts used in congenital heart diseases correction, MSCT technique and imaging appearances and appearances of abnormal post-operative findings.Conclusions: Advances in computed tomography (CT) scanners and electrocardiographic gating techniques have resulted in superior image quality of the aorta and pulmonary arteries for evaluating postoperative congenital heart disease. MSCT is an excellent non-invasive modality for post-operative evaluation of various shunts and grafts.

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“…Surgery is palliation to a Fontan-type circulation. 47 The Fontan procedure provides passive flow of all systemic venous flow from the superior vena cava and IVC to the pulmonary arteries with no pumping chamber (Fig. 15).…”

Section: Tricuspid Atresiamentioning

confidence: 99%

Computed Tomography of Pediatric Cardiovascular Disease

Siegel¹

2010

Journal of Thoracic Imaging

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Advances in multidetector computed tomography (CT) technology have revolutionized cardiovascular imaging in children. Faster acquisition times and high-quality reconstructions have enabled CT to become a valuable modality for the evaluation of cardiac and vascular pathology. Identification of congenital cardiovascular anomalies and their complications is important for patient management and treatment planning. CT offers an excellent technology in this patient population. The confident diagnosis of congenital cardiovascular lesions requires awareness of the appearances of these defects on CT, before and after surgery. In addition, understanding the techniques for performing CT in the pediatric population, including the risks, is essential for the radiologist.

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Venous Shunts and the Fontan Circulation in Adult Congenital Heart Disease

Cited by 6 publications

References 25 publications

Management of Fontan circulation in pregnancy: a multidisciplinary approach to care

Management of Fontan circulation in pregnancy: a multidisciplinary approach to care

MSCT imaging of various shunts and grafts in post operative cases of congenital heart diseases

Computed Tomography of Pediatric Cardiovascular Disease

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