NDLI: Long-term cardiopulmonary exercise capacity after modified Fontan operation.

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Long-term cardiopulmonary exercise capacity after modified Fontan operation.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ovroutski, Stanislav Ewert, Peter Miera, Oliver Alexi-Meskishvili, Vladimir Peters, Bjorn Hetzer, Roland Berger, Felix
Description	Country affiliation: Germany Author Affiliation: Ovroutski S ( Department of Congenital Heart Disease, Deutsches Herzzentrum Berlin, Berlin, Germany. ovroutski@dhzb.de)
Abstract	OBJECTIVE: Early circuit separation enhances the long-term success of Fontan haemodynamics. To test this hypothesis, we analysed the postoperative cardiopulmonary capacity in children and adults. PATIENTS: Spiroergometry was performed at least twice in 43 patients with a median age of 14 (range: 7-43) years, with a median time interval of 4.6 (1.1-10.4) years between early and late testing. Twenty-eight patients had been operated on in childhood and 15 as adults. The exercise capacity (W(max)) and oxygen consumption capacity (VO(2max)) were compared between children and adults. RESULTS: The VO(2max) in children early postoperatively was better than in adults (median 27.9 vs 22.9, p=0.032). Both VO(2max) (median 30.1 ml min(-1) kg(-1) vs 16.9 ml min(-1)kg(-1), p<0.001), and W(max) (median 2.2 W kg(-1) vs 1.4 W kg(-1), p<0.001) were significantly better in children late after surgery. In the patient group as a whole, there was a significant decrease of VO(2max) between early and later testing (median 26.5 l min(-1) kg(-1) vs 20.7 l min(-1) kg(-1), p<0.001). CONCLUSIONS: Fontan palliation in early childhood results in better cardiopulmonary capacity during long-term follow-up. Regular surveillance of the physical capacity by spiroergometry is indispensable for the supervision of patients with Fontan haemodynamics.
File Format	HTM / HTML
ISSN	10107940
e-ISSN	1873734X
Journal	European Journal of Cardio-Thoracic Surgery
Issue Number	1
Volume Number	37
Language	English
Publisher	Oxford University Press
Publisher Date	2010-01-01
Publisher Place	Germany
Access Restriction	Open
Subject Keyword	Discipline Cardiology__semicolon__surgery Exercise Tolerance Physiology Fontan Procedure Adolescent Heart Rate Oxygen Consumption Postoperative Period
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine

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