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In congenitally corrected transposition of great arteries following Fontan surgery, a left ventricle with suprasystemic systolic and high end-diastolic pressures paradoxically preserves right ventricular and tricuspid valve function

Published online by Cambridge University Press:  31 October 2019

Santosh Wadile ,
Ejaz A. Sheriff  and
Kothandam Sivakumar Open the ORCID record for Kothandam Sivakumar [Opens in a new window]
Santosh Wadile
Affiliation:
Department of Pediatric Cardiology, Madras Medical Mission, Chennai, India
Ejaz A. Sheriff
Affiliation:
Department of Pediatric Cardiology, Madras Medical Mission, Chennai, India
Kothandam Sivakumar*
Affiliation:
Department of Pediatric Cardiology, Madras Medical Mission, Chennai, India
*
Author for correspondence: Dr K. Sivakumar MD DM, Head of Department of Pediatric Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, 4A, Dr J J Nagar, Mogappair, Chennai 600089, India. Tel: +919444449966; Fax:  +91 44 26565859; E-mail: drkumarsiva@hotmail.com
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Abstract

Systemic right ventricular function in congenitally corrected transposition depends on septal geometry. Suprasystemic left ventricular systolic pressures and high end-diastolic pressures after Fontan surgery paradoxically preserve right ventricular function.

Keywords

Systemic right ventriclecongenitally corrected transpositionsingle ventricular physiologytricuspid regurgitationdouble discordanceFontan commandments
Type
Images in Congenital Cardiac Disease
Information
Cardiology in the Young , Volume 29 , Issue 12 , December 2019 , pp. 1522 - 1523
Copyright
© Cambridge University Press 2019 

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References

Kral Kollars, CA, Gelehrter, S, Bove, EL, Ensing, G. Effects of morphological left ventricular pressure on right ventricular geometry and tricuspid valve regurgitation in patients with congenitally corrected transposition of the great arteries. Am J Cardiol 2010; 105: 735–739.CrossRefGoogle Scholar

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