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  1. Jun 17, 2024 · Children and adolescents with Fontan physiology generally report lower health-related quality of life (HRQOL), as well as lower scores across physical, emotional, social, and school functioning domains, compared with children in the general community. 1.

  2. Jul 1, 2024 · After the Fontan procedure, patients require lifelong follow-up due to significant late morbidity and mortality. Thrombocytopenia is seen frequently post-Fontan, likely due to secondary hypersplenism from elevated Fontan pressure. We investigated platelet counts in patients with a Fontan circulation and assessed associations with catheterization data and clinical outcomes. This retrospective study included 92 patients (33% female) post-Fontan who had a complete blood count performed between ...

  3. 22 hours ago · Prescribing thromboprophylaxis drugs, either antiplatelets or anticoagulants, may be more effective in preventing TE after the Fontan operation than not doing so. Among the included regimens, NOACs demonstrate significantly greater efficacy than aspirin; however, they do not show statistically significant superiority over warfarin.

  4. 5 days ago · An exception is ANZFR (Australia and New Zealand Fontan Registry), although inclusion in this registry is conditional on survival to Fontan. ANZFR reported pulmonary arterial augmentation in 3.3% of patients following stage 2 and 7.4% at the time of stage 3. 7 Our study cohort had similar rates of pulmonary arterial interventions: 2.5% after stage 2 and 7.4% at the time of stage 3.

  5. 2 days ago · We describe the safe and effective percutaneous pulmonary thrombectomy in an 18-year-old female with a Fontan circulation using the FlowTriever® device (Inari Medical®, Irvine, US). Aspiration thrombectomy of both pulmonary arteries was performed using 24 and 16 F FlowTriever® catheters retrieving large amounts of thrombus material resulting in near total angiographic recanalization.

  6. Jul 1, 2024 · Generally, patients who have single ventricle physiology and pulmonary overcirculation should undergo PAB in the first 1-2 months of life to avoid irreversible pulmonary hypertension that may...

  7. Jun 13, 2024 · The Fontan procedure is a palliative operation for patients with congenital heart disease and single-ventricle physiology which consists of a series of surgeries to reroute systemic venous return directly into the pulmonary arterial confluence bypassing the subpulmonary ventricle [ 1 ].

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