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Related Concept Videos

Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

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Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
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Related Experiment Video

Updated: Sep 4, 2025

Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring
06:29

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Published on: May 2, 2025

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Considerations for Biventricular Conversion of Fontan Circulation.

S Ram Kumar1, Jon Detterich2

  • 1Division of Cardiothoracic Surgery, Department of Surgery, University of Southern California, Los Angeles, California; Department of Pediatrics, University of Southern California, Los Angeles, California; Heart Institute, Children's Hospital of Los Angeles, Los Angeles, California.

Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
|July 14, 2022
PubMed
Summary

Biventricular conversion offers an alternative for single ventricle patients not suited for Fontan circulation. Careful planning and team-based care are crucial for this complex procedure, with ventricular function remaining a key challenge.

Keywords:
Advanced imagingBiventricular circulationFontan physiologyVentricular recruitment

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Area of Science:

  • Congenital heart disease
  • Pediatric cardiology
  • Cardiac surgery

Background:

  • Long-term outcomes for Fontan circulation in single ventricle physiology remain suboptimal.
  • Biventricular conversion is an emerging alternative, especially for patients unsuitable for the Fontan procedure.

Purpose of the Study:

  • To explore the complexities and considerations for biventricular conversion in single ventricle patients.
  • To highlight the importance of planning and the challenges associated with this surgical approach.

Main Methods:

  • Review of current strategies for biventricular conversion.
  • Emphasis on image-guided planning, preoperative discussions, and a team-based approach.
  • Segmental analysis of cardiac anatomy for methodical surgical planning.

Main Results:

  • Successful biventricular conversion requires meticulous planning and a multidisciplinary team.
  • Ventricular size and function represent critical factors influencing repair success.
  • Further long-term comparative studies are needed.

Conclusions:

  • Biventricular conversion is a viable option for select single ventricle patients.
  • Addressing ventricular limitations is paramount for successful outcomes.
  • Comparative long-term data is essential for personalized patient management.