Progress in Pediatric Cardiology
Volume 22, Issue 2 , Pages 179-186, September 2006

The physiology of the Fontan circulation

  • Andrew Redington

      Affiliations

    • Corresponding Author InformationThe Hospital for Sick Children, 555 University Avenue, Toronto, M5G 1X8, Ontario, Canada. Tel.: +1 416 813 6132; fax: +1 416 813 7547.

Division of Cardiology, The Department of Pediatrics, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Ontario, Canada

Abstract 

The Fontan circulation, no matter which of its various iterations, is abnormal in virtually every aspect of its performance. Some of these abnormalities are primarily the result of the procedure itself, and others are secondary to the fundamental disturbances of circulatory performance imposed by the ‘single’ ventricle circulation. The physiology of ventricular, systemic arterial and venopulmonary function will be described in this review.

Keywords: palliation, Fontan circulation, Cavopulmonary anastomosis, Antriopulmonary anastomosis

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PII: S1058-9813(06)00051-8

doi:10.1016/j.ppedcard.2006.07.007

Progress in Pediatric Cardiology
Volume 22, Issue 2 , Pages 179-186, September 2006