[III-JCK08-3] Catheter intervention for Fontan patients
Fontan surgery is a palliative but ultimate surgical procedure for patients with univentricular hearts, which was invented more than 50 years ago. This procedure has saved so many children’s lives, but now we know all the patients are substantially affected by this unusual hemodynamics. They have multiorgan congestion and low perfusion pressure due to high central venous pressure. Because of low cardiac output, patients develop chronic heart failure. Hypoxia often occurs. To overcome these problems, our strategy is determined to decrease central venous pressure, increase cardiac output, increase systemic arterial pressure, and increase systemic oxygen saturation.As pediatric cardiac interventionalists, what can we do to achieve better Fontan circulation? In the talk, I would like to share our own experiences and strategies.