Search results for "Univentricular heart"

showing 4 items of 4 documents

Arterial Stiffness and Its Relationship to Cardiorespiratory Fitness in Children and Young Adults with a Fontan Circulation

2019

There are no previous studies on arterial stiffness and its associations with cardiorespiratory fitness in young Fontan patients. Therefore, we examined the arterial stiffness and its relationship to cardiorespiratory fitness in children and young adults with a Fontan circulation. Altogether, 17 Fontan patients and 26 healthy controls (16 females and 27 males aged 8–40 years) participated in this cross-sectional study. The cardiorespiratory fitness was assessed by cardiopulmonary exercise testing on a cycle ergometer and was defined as the standard deviation scores (SDS) of peak oxygen uptake per body mass (VO2peak/kg) based on the national reference values and assessed with cardiopulmonary…

MaleYouthsynnynnäiset sydänviatAugmentation Index030204 cardiovascular system & hematologyFontan Procedureaugmentation indexPediatricsuniventricular heart0302 clinical medicinenuoretFontan circulationChildAorta/physiopathologyPulse wave velocityAortaCardiorespiratory Fitness/physiologyHeart Defectseducation.field_of_studycardiorespiratory fitnessExercise Test/methodsVO2 maxMiddle AgedPerinatologyArterial stiffnessand Child HealthCongenital/physiopathologyfyysinen kuntoarterial stiffnessCardiorespiratory FitnessCardiologyOriginal ArticleFemaleCardiology and Cardiovascular MedicineHeart Defects CongenitalAdultmedicine.medical_specialtyAdolescentpulse wave velocityPopulationVascular Stiffness/physiologylapset (ikäryhmät)Pulse Wave AnalysisYoung Adult03 medical and health sciencesVascular StiffnessOscillometry030225 pediatricsInternal medicineJournal ArticlemedicineHumansPediatrics Perinatology and Child Healtheducationnuoret aikuisetbusiness.industryUniventricular heartFontan Procedure/adverse effectsCardiorespiratory fitnessHeart Defects Congenital/physiopathologyAortic Augmentation Indexmedicine.diseaseConfidence intervalPulse wave velocityCross-Sectional StudiesPulse Wave Analysis/methodsPediatrics Perinatology and Child HealthExercise TestArterial stiffnessnuoruusfontan circulationbusinessBody mass indexhuman activities
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Motor development of infants with univentricular heart at the ages of 16 and 52 weeks

2013

Purpose To compare the motor development of patients with hypoplastic left heart syndrome (HLHS) and other types of univentricular heart (UVH) with peers who are healthy at the ages of 16 and 52 weeks. Methods Motor development was assessed with the Alberta Infant Motor Scale (AIMS). Results Both the 23 patients with HLHS and the 13 patients with UVH had lower total AIMS scores in both observations than the controls. At the age of 52 weeks, patients with HLHS had significantly lower scores in all 4 AIMS subscales, whereas patients with UVH had lower scores only in the prone and standing subscales. Conclusion Motor development of patients with HLHS or UVH is delayed during the first year of …

Heart Defects CongenitalMalePediatricsmedicine.medical_specialtyHeart VentriclesPhysical Therapy Sports Therapy and RehabilitationFirst year of life030204 cardiovascular system & hematologyMotor ActivityNeuropsychological TestsHypoplastic left heart syndrome03 medical and health sciences0302 clinical medicineChild Development030225 pediatricsmedicineHumansProspective StudiesProspective cohort studyMotor skillRetrospective Studiesbusiness.industryInfantRetrospective cohort studyta3141medicine.diseasePrognosisChild developmentUniventricular heartExercise TherapyMotor SkillsChild PreschoolPediatrics Perinatology and Child HealthFemalebusinessPediatric Physical Therapy
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What have we learnt 50 years after the first Fontan procedure?

2020

The Fontan procedure is often the only definitive palliative surgical option for patients with a variety of complex CHD sharing in common, a single, dominant ventricle. In recent decades, imaging and therapeutic improvement have played a crucial role in those patients in whom many complications can hamper their life. After 50 years from the first procedure, heart transplantation remains the only definitive treatment for those with a failing Fontan circulation.

medicine.medical_specialtymedicine.medical_treatmentHeart VentriclesMEDLINEFontan ProcedureHistory 21st CenturyUniventricular HeartFontan circulationFontan procedureRisk FactorsMedicineHumansVentricular FunctionTreatment Failurecardiovascular diseasesIntensive care medicineHeart transplantationbusiness.industryHemodynamicsGeneral MedicineRecovery of FunctionHistory 20th CenturyHeart TransplantationDiffusion of InnovationCardiology and Cardiovascular MedicinebusinessFontan total cavopulmonary connection univentricular heart
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The Fontan-Operation: From Intra- to Extracardiac Procedure

2003

Purpose For treatment of univentricular heart, the Fontan operation has been established as the definitive palliation. The current controversy is mainly based on the high incidence of arrhythmias after an intra-atrial lateral tunnel Fontan operation. Methods From January 1995 until April 2002. 46 children underwent a Fontan-type operation with or without a small fenestration. In 33 patients (group I) an Intracardiac tunnel and in 13 patients (group II) an extracardiac conduit procedure was performed. Principal findings There was no perioperative mortality. All patients showed postoperative a significant increase of arterial oxygen saturation, from 76 to 86% after surgery with fenestration, …

AdultHeart Defects CongenitalMalecongenital hereditary and neonatal diseases and abnormalitiesmedicine.medical_specialtyAdolescentmedicine.medical_treatmentGroup iiExtracardiac conduitFontan ProcedureIntracardiac injectionFontan procedureIntraoperative PeriodmedicineHumansRadiology Nuclear Medicine and imagingcardiovascular diseasesChildCardiopulmonary Bypassbusiness.industryInfantPerioperativeSurgical InjuryUniventricular heartSurgeryOxygensurgical procedures operativeChild Preschoolcardiovascular systemFemaleSurgeryHigh incidencebusinessCardiology and Cardiovascular MedicineFollow-Up StudiesCardiovascular Surgery
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