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Thorac Cardiovasc Surg 2000; 48(6): 336-341
DOI: 10.1055/s-2000-8345
Original Cardiovascular
ORIGINALARBEIT
© Georg Thieme Verlag Stuttgart · New York

Pathophysiological Aspects after Cavopulmonary Anastomosis

M. Gewillig1 , N. Kalis2
  • 1Department of Pediatric and Congenital Cardiology, Gasthuisberg University Hospital, University of Leuven, Belgium
  • 2Department of Cardiology, Bahrein, Belgium
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Publikationsverlauf

Publikationsdatum:
31. Dezember 2000 (online)

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The ventricle of a functionally univentricular heart is known to be dilated, hypertrophic and hypocontractile before and after completion of a Fontan type of circuit. Ventricular dysfunction can be due to the congenital malformation itself, previous surgical conditions, or the very abnormal working conditions of the ventricle at the various stages of palliation. Because of the very different types of ventricle, it remains difficult to assess size, shape, hypertrophy, stress, strain, contraction and relaxation. The ventricle after birth tries to adapt to different and very abnormal circulations, evolving from overloaded and overstretched while shunted, to underloaded and overgrown after a Fontan type of circulation.

Key words:

Cavopulmonary anastomosis - Pathophysiology

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MD PhD Professor Marc Gewillig

Paediatric Cardiology University Hospital Gasthuisberg

3000 Leuven

Belgium

Telefon: +32 16 343865

Fax: +32 16 343981

eMail: marc.gewillig@uz.kuleuven.ac.be