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Non-invasive management of obstructive sleep apnoea in a Fontan patient

Part of: Functionally Univentricular Heart

Published online by Cambridge University Press:  17 June 2019

Maria Boutsikou Open the ORCID record for Maria Boutsikou [Opens in a new window] ,
Wei Li  and
Michael A. Gatzoulis
Maria Boutsikou*
Affiliation:
Adult Congenital Heart Centre & National Centre for Pulmonary Hypertension, Royal Brompton Hospital, London, UK Cardiovascular Magnetic Resonance Unit, Royal Brompton Hospital, London, UK
Wei Li
Affiliation:
National Heart and Lung Institute, Imperial College School of Medicine, London, UK
Michael A. Gatzoulis
Affiliation:
National Heart and Lung Institute, Imperial College School of Medicine, London, UK
*
Author for correspondence: M. Boutsikou, Royal Brompton Hospital, Cardiovascular Magnetic Resonance Unit, Sydney Street, London, United Kingdom of Great Britain and Northern Ireland, SW3 6NP. Tel: +44 20 73518602; Fax: +44 20 73518629; E-mail: [email protected]
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Abstract

In patients with CHD after Fontan palliation, there is a lack of a pumping chamber in the pulmonary circulation; thus, pulmonary blood flow and cardiac output are sensitive to increased pulmonary vascular resistance; if obstructive sleep apnoea is present, there are legitimate concerns from continuous positive airway pressure ventilation, which may hinder pulmonary blood flow.

Keywords

Sleep apnoeaFontancardiac outputechocardiography
Type
Brief Report
Information
Cardiology in the Young , Volume 29 , Issue 7 , July 2019 , pp. 977 - 979
Copyright
© Cambridge University Press 2019 

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