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Related Concept Videos

Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

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Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
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Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

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Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
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Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

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Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
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Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

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Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
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Imbalances in Cardiac Output01:26

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The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
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Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

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IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
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Related Experiment Video

Updated: Nov 6, 2025

Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring
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Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring

Published on: May 2, 2025

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Failing Fontan.

Om Prakash Yadava1, Richard A Jonas2

  • 1National Heart Institute, New Delhi, India.

Indian Journal of Thoracic and Cardiovascular Surgery
|May 10, 2021
PubMed
Summary
This summary is machine-generated.

This discussion explores the critical issue of Failing Fontan, a complex heart condition. Experts share insights on managing this challenging pediatric cardiac surgery complication.

Keywords:
Failing FontanFenestrationHeart failureMechanical circulatory supportProtein losing enteropathySingle ventricle

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Area of Science:

  • Cardiology
  • Pediatric Cardiac Surgery
  • Congenital Heart Disease

Background:

  • The Fontan procedure is a palliative surgery for single-ventricle congenital heart defects.
  • Failing Fontan is a progressive complication following the Fontan procedure, leading to significant morbidity and mortality.
  • Long-term management and understanding of Failing Fontan are crucial for improving patient outcomes.

Purpose of the Study:

  • To discuss the current understanding and management strategies for Failing Fontan.
  • To share expert perspectives on the diagnosis and treatment of Fontan-associated liver disease and heart failure.
  • To highlight the importance of multidisciplinary care for patients with Failing Fontan.

Main Methods:

  • Expert conversation and knowledge exchange between leading pediatric cardiac surgeons.
  • Review of clinical experiences and published literature on Failing Fontan.
  • Discussion of diagnostic criteria and therapeutic interventions.

Main Results:

  • Failing Fontan presents with a spectrum of clinical manifestations, including liver dysfunction, protein-losing enteropathy, and cardiac decompensation.
  • Early recognition and intervention are key to managing Failing Fontan.
  • Multidisciplinary management involving cardiology, cardiac surgery, hepatology, and gastroenterology is essential.

Conclusions:

  • Failing Fontan remains a significant challenge in the long-term care of patients with single-ventricle physiology.
  • Advances in surgical techniques and medical management offer improved, though not curative, solutions.
  • Continued research and collaboration are vital to enhance the quality of life and survival for these complex patients.