Andersons pediatric cardiology 17
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Morphogenesis
AnnotatedReferences
References
70PhysiologicPrinciplestoMaximizeOutcomeinPatientsWithaFunctionally
UniventricularHeart
Abstract
Introduction
GuidingPrinciplesofStagedReconstruction
StrategiesandPhysiologicGoalstoObtaintheOptimalOutcomeof
StagedReconstruction
PhysiologyImmediatelyAfterBirth
ClarificationsandProposedChangestoTerminologyUsedinthe
Neonate,Infant,andChildWithaFunctionallyUniventricularHeart
PhysiologicEffectsofStagedReconstructioninthePatientWitha
FunctionallyUniventricularHeartUndergoingSuperior
CavopulmonaryConnectionandSubsequentFontanProcedure
AnnotatedReferences
References
71FontanPathwayFromBirthThroughEarlyChildhood
Abstract
Introduction
NeonatalStabilization,SurgicalStrategies,andPostoperative
Management
Second-StagePalliation:TheSuperiorCavopulmonaryConnection
Third-StageReconstruction:TheModifiedFontanProcedure
OutcomesAlongtheFontanPathway
FutureConsiderations
ClosingThoughts
AnnotatedReferences
References
72InterstageManagement
Abstract
Introduction
RationaleandMetricsforInterstageMonitoring
InpatientPreparationforInterstageManagement
OutpatientManagement
ProgressionThroughStageIIPalliation
“InterstageII”—BeyondtheSuperiorCavopulmonaryConnection
References
73Longer-TermOutcomesandManagementforPatientsWithaFunctionally
UniventricularHeart
Abstract
EvolutionoftheFontanProcedure
LateOutcomeWithaFontanCirculation
LatePredictors
ConsequencesoftheFontanCirculation
ImpairedExerciseCapacity(seealsoChapter23)
Arrhythmia(seealsoChapter22)
Summary
HematologicandImmunologicComplications
Fontan-AssociatedLiverDisease
NeurocognitiveandPsychosocialFunction
Managementofthe“Well”Fontan
CardiacCatheterizationandTranscatheterIntervention
ManagementofFontanFailure
FutureDirections
AnnotatedReferences
References
Section7BeyondtheHeart
74SystemicCirculation
Abstract
