TY - JOUR
T1 - Developing an adolescent and adult Fontan Management Programme
AU - Lubert, Adam M.
AU - Alsaied, Tarek
AU - Trout, Andrew T.
AU - Dillman, Jonathan R.
AU - Palermo, Joseph J.
AU - Eichelbrenner, Felicia
AU - Kleier, Kelly
AU - Lorts, Angela
AU - Anwar, Nadeem
AU - Schecter, Marc G.
AU - Tiao, Gregory M.
AU - Chin, Clifford
AU - Feldman, David S.
AU - Jenkins, Meredith
AU - Morales, David L.S.
AU - Opotowsky, Alexander R.
AU - Bucuvalas, John C.
AU - Veldtman, Gruschen R.
AU - Goldstein, Stuart L.
N1 - Publisher Copyright:
© The Author(s), 2021. Published by Cambridge University Press.
PY - 2022/2/10
Y1 - 2022/2/10
N2 - Patients with single-ventricle CHD undergo a series of palliative surgeries that culminate in the Fontan procedure. While the Fontan procedure allows most patients to survive to adulthood, the Fontan circulation can eventually lead to multiple cardiac complications and multi-organ dysfunction. Care for adolescents and adults with a Fontan circulation has begun to transition from a primarily cardiac-focused model to care models, which are designed to monitor multiple organ systems, and using clues from this screening, identify patients who are at risk for adverse outcomes. The complexity of care required for these patients led our centre to develop a multidisciplinary Fontan Management Programme with the primary goals of earlier detection and treatment of complications through the development of a cohesive network of diverse medical subspecialists with Fontan expertise.
AB - Patients with single-ventricle CHD undergo a series of palliative surgeries that culminate in the Fontan procedure. While the Fontan procedure allows most patients to survive to adulthood, the Fontan circulation can eventually lead to multiple cardiac complications and multi-organ dysfunction. Care for adolescents and adults with a Fontan circulation has begun to transition from a primarily cardiac-focused model to care models, which are designed to monitor multiple organ systems, and using clues from this screening, identify patients who are at risk for adverse outcomes. The complexity of care required for these patients led our centre to develop a multidisciplinary Fontan Management Programme with the primary goals of earlier detection and treatment of complications through the development of a cohesive network of diverse medical subspecialists with Fontan expertise.
KW - Fontan
KW - adult congenital heart disease
KW - multidisciplinary clinic
UR - http://www.scopus.com/inward/record.url?scp=85105877992&partnerID=8YFLogxK
U2 - 10.1017/S104795112100175X
DO - 10.1017/S104795112100175X
M3 - Article
C2 - 33966676
AN - SCOPUS:85105877992
SN - 1047-9511
VL - 32
SP - 230
EP - 235
JO - Cardiology in the Young
JF - Cardiology in the Young
IS - 2
ER -