Publications by authors named "Paula Gaebert"
Serial changes of systemic ventricular function and atrioventricular valve function in patients with failing Fontan.
Eur J Cardiothorac Surg
February 2025
Objectives: This study investigated the longitudinal changes in ventricular function and atrioventricular valve function to clarify the timing and the mechanisms of failing Fontan.
Methods: Patients who underwent total cavopulmonary connection between 1994 and 2023 were reviewed, and longitudinal echocardiographic examinations of ventricular function and atrioventricular valve regurgitation were analysed.
Results: A total of 650 patients were included.
Article Synopsis
- This study investigates the challenging condition known as failing Fontan in patients who have undergone total cavopulmonary connection, focusing on its incidence, causes, risk factors, and treatment options.
- Out of 634 patients analyzed from 1994 to 2022, 76 were diagnosed with failing Fontan, resulting in an incidence rate of 1.48 per 100 patient-years, and key symptoms included protein-losing enteropathy and hospital readmissions.
- Key risk factors for developing failing Fontan include having a dominant right ventricle and elevated pulmonary artery pressure prior to surgery, while patients showed a survival rate of 77% ten years after failure onset; zlog-