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心外并发症的 Fontan 循环。

Extracardiac complications of the Fontan circuit.

机构信息

Mallinckrodt Institute of Radiology, Washington University School of Medicine, Campus Box 8131, 510 S. Kingshighway, St. Louis, MO 63110, USA.

出版信息

Pediatr Radiol. 2012 Feb;42(2):233-41. doi: 10.1007/s00247-011-2225-x. Epub 2011 Aug 24.

DOI:10.1007/s00247-011-2225-x
PMID:21863291
Abstract

The Fontan operation is the primary surgical procedure used in the palliation of patients with univentricular cardiac physiology. With improved survival of children with congenital heart disease, long-term complications of the Fontan circuit are being encountered more frequently. Radiologists are more likely to see both the cardiac and extracardiac complications of the Fontan circuit. Awareness of the common extracardiac complications in children with failing Fontan circuits will aid the radiologist in making the appropriate diagnosis and guide the cardiologist caring for these patients.

摘要

法洛四联症手术是治疗单心室心脏生理患者的主要手术方法。随着先天性心脏病患儿生存率的提高,法洛四联症循环的长期并发症也越来越常见。放射科医生更有可能看到法洛四联症循环的心脏和心脏外并发症。了解心力衰竭的法洛四联症患儿常见的心脏外并发症将有助于放射科医生做出正确的诊断,并指导治疗这些患者的心脏病专家。

相似文献

1
Extracardiac complications of the Fontan circuit.心外并发症的 Fontan 循环。
Pediatr Radiol. 2012 Feb;42(2):233-41. doi: 10.1007/s00247-011-2225-x. Epub 2011 Aug 24.
2
Percutaneous embolization of lymphatic fistulae as treatment for protein-losing enteropathy and plastic bronchitis in patients with failing Fontan circulation.经皮栓塞术治疗 Fontan 循环衰竭患者的蛋白丢失性肠病和胶性支气管炎淋巴管瘘
Catheter Cardiovasc Interv. 2019 Dec 1;94(7):996-1002. doi: 10.1002/ccd.28501. Epub 2019 Oct 9.
3
Fenestration of extracardiac fontan and reversal of protein-losing enteropathy: case report.心外管道Fontan手术开窗与蛋白丢失性肠病的逆转:病例报告
Pediatr Cardiol. 1998 Jul-Aug;19(4):355-7. doi: 10.1007/s002469900322.
4
Surgical and interventional rescue strategies for Fontan failure.Fontan 衰竭的手术和介入抢救策略。
Interact Cardiovasc Thorac Surg. 2022 Aug 3;35(3). doi: 10.1093/icvts/ivac098.
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Current Treatment Options for the Failing Fontan Circulation.目前 Fontan 循环衰竭的治疗选择。
Curr Cardiol Rev. 2022;18(4):e060122200067. doi: 10.2174/1573403X18666220106114518.
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Protein-Losing Enteropathy and Plastic Bronchitis After the Fontan Operation.Fontan手术后的蛋白丢失性肠病和塑形性支气管炎
Crit Care Nurse. 2018 Dec;38(6):e5-e12. doi: 10.4037/ccn2018784.
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Comparison of Clinical Profiles in Patients with Protein-Losing Enteropathy With and Without Fontan Circulation.有和没有Fontan循环的蛋白丢失性肠病患者的临床特征比较。
Pediatr Cardiol. 2018 Oct;39(7):1290-1298. doi: 10.1007/s00246-018-1893-9. Epub 2018 May 22.
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Rare problems associated with the Fontan circulation.与Fontan循环相关的罕见问题。
Cardiol Young. 2010 Dec;20 Suppl 3:113-9. doi: 10.1017/S1047951110001162.
9
Five decades of the Fontan operation: A systematic review of international reports on outcomes after univentricular palliation.五十年的Fontan手术:对关于单心室姑息治疗后结局的国际报告的系统评价。
Congenit Heart Dis. 2018 Mar;13(2):181-193. doi: 10.1111/chd.12570. Epub 2018 Jan 25.
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Forty years of the Fontan operation: a failed strategy.法洛四联症手术四十年:一项失败的策略。
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2010;13(1):96-100. doi: 10.1053/j.pcsu.2010.02.006.

引用本文的文献

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In Vitro and In Silico Analysis of Entrainment Characterization in Injection Jet-Assisted Fontan Circulation.喷射辅助Fontan循环中夹带特性的体外和计算机模拟分析
Bioengineering (Basel). 2025 May 21;12(5):555. doi: 10.3390/bioengineering12050555.
2
Imaging and surgical management of congenital heart diseases.先天性心脏病的影像学与外科治疗
Pediatr Radiol. 2023 Apr;53(4):677-694. doi: 10.1007/s00247-022-05536-y. Epub 2022 Nov 5.
3
Lymphatic anomalies in congenital heart disease.先天性心脏病中的淋巴系统异常。

本文引用的文献

1
The Fontan procedure: anatomy, complications, and manifestations of failure.法洛四联症根治术:解剖、并发症和手术失败表现。
Radiographics. 2011 Mar-Apr;31(2):453-63. doi: 10.1148/rg.312105027.
2
Arterialised hepatic nodules in the Fontan circulation: hepatico-cardiac interactions.Fontan 循环中的动脉化肝结节:肝心相互作用。
Int J Cardiol. 2011 Sep 15;151(3):268-72. doi: 10.1016/j.ijcard.2010.05.047. Epub 2010 Jun 16.
3
Liver disease after the Fontan procedure: what the hepatologist needs to know.法洛四联症根治术后肝脏疾病:肝病专家需要了解的知识。
Pediatr Radiol. 2022 Sep;52(10):1862-1876. doi: 10.1007/s00247-022-05449-w. Epub 2022 Jul 16.
4
Computed tomography of the airways and lungs in congenital heart disease.先天性心脏病气道与肺部的计算机断层扫描
Pediatr Radiol. 2022 Dec;52(13):2529-2537. doi: 10.1007/s00247-021-05186-6. Epub 2021 Sep 25.
5
Gastrointestinal neuroendocrine tumors in Fontan patients.Fontan手术患者的胃肠道神经内分泌肿瘤
Radiol Case Rep. 2020 Sep 3;15(11):2153-2156. doi: 10.1016/j.radcr.2020.08.004. eCollection 2020 Nov.
6
Airway emergency during general anesthesia in a child with plastic bronchitis following Fontan surgery: a case report.Fontan手术后患塑料支气管炎儿童全身麻醉期间的气道急症:一例报告
JA Clin Rep. 2020 Jan 21;6(1):6. doi: 10.1186/s40981-020-0311-5.
7
Saline Contrast Transesophageal Echocardiography in Fontan Patients: Assessment of the Presence, Type, and Size of Right to Left Shunts.生理盐水对比剂经食管超声心动图在Fontan手术患者中的应用:评估右向左分流的存在、类型及大小
Pediatr Cardiol. 2019 Aug;40(6):1199-1207. doi: 10.1007/s00246-019-02132-0. Epub 2019 Jun 19.
8
Liver disease in the survivor with congenital heart disease.先天性心脏病幸存者中的肝脏疾病。
Clin Liver Dis (Hoboken). 2014 Oct 24;4(4):77-79. doi: 10.1002/cld.387. eCollection 2014 Oct.
9
Prevalence of non-cardiovascular findings on CT angiography in children with congenital heart disease.先天性心脏病患儿CT血管造影中非心血管表现的患病率。
Pediatr Radiol. 2017 Mar;47(3):267-279. doi: 10.1007/s00247-016-3742-4. Epub 2016 Dec 6.
10
Non-cardiovascular findings in clinical cardiovascular magnetic resonance imaging in children.儿童临床心血管磁共振成像中的非心血管表现
Pediatr Radiol. 2016 Apr;46(4):473-82. doi: 10.1007/s00247-015-3512-8. Epub 2016 Jan 11.
J Clin Gastroenterol. 2010 Jul;44(6):428-31. doi: 10.1097/MCG.0b013e3181d476fc.
4
Hepatocellular carcinoma in two patients with cardiac cirrhosis.两例伴有心脏肝硬化的肝细胞癌患者。
Eur J Gastroenterol Hepatol. 2010 Jul;22(7):889-91. doi: 10.1097/MEG.0b013e32832e2bec.
5
CT findings in unilateral hepatopulmonary syndrome after the Fontan operation.Fontan手术后单侧肝肺综合征的CT表现
Pediatr Radiol. 2009 Apr;39(4):336-42. doi: 10.1007/s00247-008-1120-6. Epub 2009 Feb 3.
6
Lymphatic obstruction and protein-losing enteropathy in patients with congenital heart disease.先天性心脏病患者的淋巴梗阻与蛋白丢失性肠病
Congenit Heart Dis. 2008 Jul-Aug;3(4):269-76. doi: 10.1111/j.1747-0803.2008.00201.x.
7
CT findings of plastic bronchitis in children after a Fontan operation.Fontan手术后儿童塑料支气管炎的CT表现。
Pediatr Radiol. 2008 Sep;38(9):989-93. doi: 10.1007/s00247-008-0937-3. Epub 2008 Jul 16.
8
Protein-losing enteropathy after Fontan operation.Fontan手术后的蛋白丢失性肠病
Congenit Heart Dis. 2007 Sep-Oct;2(5):288-300. doi: 10.1111/j.1747-0803.2007.00116.x.
9
Repair of congenital heart disease: a primer-part 1.先天性心脏病的修复:入门指南 - 第1部分
Radiology. 2008 Jun;247(3):617-31. doi: 10.1148/radiol.2473061909. Epub 2008 Mar 28.
10
The Fontan procedure: contemporary techniques have improved long-term outcomes.Fontan手术:当代技术改善了长期预后。
Circulation. 2007 Sep 11;116(11 Suppl):I157-64. doi: 10.1161/CIRCULATIONAHA.106.676445.