Evaluation and management of the child and adult with Fontan circulation: a scientific statement from the American Heart Association

J Rychik, AM Atz, DS Celermajer, BJ Deal… - Circulation, 2019 - Am Heart Assoc
It has been 50 years since Francis Fontan pioneered the operation that today bears his
name. Initially designed for patients with tricuspid atresia, this procedure is now offered for a …

Understanding lymphatic anatomy and abnormalities at imaging

E Lee, DM Biko, W Sherk, WR Masch… - Radiographics, 2022 - pubs.rsna.org
Lymphatic abnormalities encompass a wide range of disorders spanning solitary common
cystic lymphatic malformations (LMs) to entities involving multiple organ systems such as …

Outcomes in hypoplastic left heart syndrome

MK Metcalf, J Rychik - Pediatric Clinics, 2020 - pediatric.theclinics.com
Congenital heart defects occur in 8 per 1000 live births, with anomalies ranging from minor
septal defects to major structural abnormalities of the great vessels or ventricles. Why focus …

Lymphatic disorders in patients with single ventricle heart disease

Y Dori, CL Smith - Frontiers in Pediatrics, 2022 - frontiersin.org
Lymphatic abnormalities in patients with single ventricle physiology can lead to early Fontan
failure and severe Fontan complications, such as protein-losing enteropathy (PLE), plastic …

Dynamic contrast-enhanced magnetic resonance lymphangiography

KI Ramirez-Suarez, LO Tierradentro-Garcia… - Pediatric …, 2022 - Springer
Lymphatic flow disorders include a broad spectrum of abnormalities that can originate in the
lymphatic or the venous system. The development of these disorders is multifactorial and is …

Diagnosis and management of lymphatic disorders in congenital heart disease

B Kelly, S Mohanakumar, VE Hjortdal - Current Cardiology Reports, 2020 - Springer
Abstract Purpose of Review Lymphatic disorders have received an increasing amount of
attention over the last decade. Sparked primarily by improved imaging modalities and the …

Prevalence and cause of early Fontan complications: does the lymphatic circulation play a role?

RM Ghosh, HM Griffis, AC Glatz, JJ Rome… - Journal of the …, 2020 - Am Heart Assoc
Background Recent studies suggest that lymphatic congestion plays a role in development
of late Fontan complications, such as protein‐losing enteropathy. However, the role of the …

Transcatheter thoracic duct decompression for multicompartment lymphatic failure after Fontan palliation

CL Smith, Y Dori, ML O'Byrne, AC Glatz… - Circulation …, 2022 - Am Heart Assoc
Background: Lymphatic embolization therapy has proven effective for Fontan failure from
plastic bronchitis or protein-losing enteropathy but not when multiple lymphatic …

State-of-the-art imaging for lymphatic evaluation in children

KI Ramirez-Suarez, LO Tierradentro-Garcia, JA Stern… - Pediatric …, 2023 - Springer
The lymphatic system has been poorly understood and its importance neglected for
decades. Growing understanding of lymphatic flow pathophysiology through peripheral and …

Fontan-associated liver disease: Diagnosis, surveillance, and management

C de Lange, T Möller, H Hebelka - Frontiers in pediatrics, 2023 - frontiersin.org
The Fontan operation is a lifesaving procedure for patients with functional single-ventricle
congenital heart disease, where hypoplastic left heart syndrome is the most frequent …