1. Management of People With a Fontan Circulation: a Cardiac Society of Australia and New Zealand Position statement
- Author
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Paul Monagle, Winita Hardikar, Nadine A. Kasparian, Brian Le, Dominica Zentner, Juliet Ward, Kathryn Rice, Sebastian Greenway, Leeanne Grigg, Jenny Hynson, Clare O’Donnell, Gary F. Sholler, Siddharth Sood, David S. Celermajer, Michael Cheung, K. Marshall, Jonathan R. Skinner, Ajay J. Iyengar, Cameron Bridgman, Andrew M. Davis, Bernadette O'Connor, Robert G. Weintraub, William Wilson, Belinda Frank, Tim Hornung, Robert N. Justo, David S. Winlaw, Thomas L. Gentles, Julian Ayer, Gillian M. Blue, K. Eagleson, Karin du Plessis, Andreas Pflaumer, Kirsten Finucane, Evelyn Culnane, Yves d'Udekem, David C. McGiffin, Luke J. Burchill, Paul A. James, Angela Wood, Tom Wilson, Mark A. McGuire, Rachael Cordina, Jonathan M. Kalman, Julie Neilsen, Jacob Mathew, and Ben Moore
- Subjects
Pulmonary and Respiratory Medicine ,Position statement ,Heart Defects, Congenital ,congenital, hereditary, and neonatal diseases and abnormalities ,medicine.medical_specialty ,Heart disease ,medicine.medical_treatment ,Improved survival ,030204 cardiovascular system & hematology ,Fontan circulation ,03 medical and health sciences ,0302 clinical medicine ,Quality of life (healthcare) ,Multidisciplinary approach ,Health care ,medicine ,Humans ,030212 general & internal medicine ,Registries ,Intensive care medicine ,Societies, Medical ,business.industry ,Australia ,medicine.disease ,Ventricular assist device ,Cardiology and Cardiovascular Medicine ,business ,New Zealand - Abstract
The Fontan circulation describes the circulatory state resulting from an operation in congenital heart disease where systemic venous return is directed to the lungs without an intervening active pumping chamber. As survival increases, so too does recognition of the potential health challenges. This document aims to allow clinicians, people with a Fontan circulation, and their families to benefit from consensus agreement about management of the person with a Fontan circulation. The document was crafted with input from a multidisciplinary group of health care providers as well as individuals with a Fontan circulation and families. It is hoped that the shared common vision of long-term wellbeing will continue to drive improvements in care and quality of life in this patient population and eventually translate into improved survival. KEYPOINTS.
- Published
- 2019