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Related Concept Videos

Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

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...
Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
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Related Experiment Video

Updated: May 14, 2026

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

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

Published on: May 2, 2025

Functionally Single-Ventricle Complications After Fontan Palliation-A Narrative Review.

Małgorzata Kowalczyk1, Mirosław Kowalski1

  • 1Department of Adult Congenital Heart Disease, National Institute of Cardiology in Warsaw, 04-628 Warsaw, Poland.

Journal of Clinical Medicine
|May 13, 2026
PubMed
Summary

Functionally single-ventricle (FSV) defects require Fontan palliation, leading to long-term complications like organ dysfunction and psychosocial challenges. Comprehensive, multidisciplinary care is essential for managing these complex pediatric heart conditions.

Keywords:
Fontan circulationfunctionally single ventriclelong-term complications of Fontan palliation

Related Experiment Videos

Last Updated: May 14, 2026

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

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

Published on: May 2, 2025

Area of Science:

  • Cardiology
  • Pediatric Congenital Heart Disease

Background:

  • Functionally single-ventricle (FSV) defects are complex congenital heart anomalies necessitating Fontan palliation.
  • Fontan circulation, while improving survival, presents unique physiological challenges predisposing patients to long-term complications.

Purpose of the Study:

  • To review the spectrum of cardiovascular and systemic complications associated with Fontan physiology.
  • To highlight the impact of these complications on patients' quality of life and the need for comprehensive management.

Main Methods:

  • Literature review of studies on Fontan palliation outcomes.
  • Analysis of cardiovascular, systemic, and psychosocial complications in FSV patients.

Main Results:

  • Key cardiovascular issues include ventricular dysfunction, valve regurgitation, arrhythmias, and thromboembolic events.
  • Systemic complications comprise Fontan-associated liver disease (FALD), protein-losing enteropathy (PLE), plastic bronchitis (PB), renal, endocrine, and psychosocial burdens.
  • These complications lead to frequent hospitalizations and impaired life opportunities.

Conclusions:

  • Fontan physiology poses significant long-term risks requiring vigilant monitoring and management.
  • A multidisciplinary approach is crucial to address the complex interplay of hemodynamic, organ-specific, and psychosocial factors in Fontan patients.