Rajpal Saurabh, Opotowsky Alexander R, Rutherford Anna, Wu Fred
1 Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
2 Department of Cardiology, Boston Children's Hospital, Boston, MA, USA.
World J Pediatr Congenit Heart Surg. 2019 May;10(3):357-359. doi: 10.1177/2150135118779351. Epub 2018 Oct 24.
Recurrent ascites is a common manifestation of failing Fontan circulation. We present the hemodynamic response to large-volume paracentesis in a patient with Fontan circulation and Fontan-associated liver disease, documenting an immediate and substantial decline in systemic venous pressure and increase in cardiac output. These preliminary observations may have implications for the management of ascites in adults with Fontan circulation.
反复腹水是Fontan循环衰竭的常见表现。我们报告了一名患有Fontan循环和Fontan相关肝病的患者对大量腹腔穿刺术的血流动力学反应，记录到体静脉压立即大幅下降，心输出量增加。这些初步观察结果可能对Fontan循环的成年腹水患者的管理具有启示意义。
