Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-24T05:59:59.171Z Has data issue: false hasContentIssue false
  • English
  • Français

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]
Get access Rights & Permissions [Opens in a new window]

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 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Peppard, PE, Young, T, Palta, M, Skatrud, J. Prospective study of the association between sleep-disordered breathing and hypertension. N Engl J Med 2000; 342: 1378–1384.CrossRefGoogle ScholarPubMed
Shahar, E, Whitney, CW, Redline, S, et al. Sleep-disordered breathing and cardiovascular disease: cross-sectional results of the sleep heart health study. Am J Respir Crit Care Med 2002; 163: 19–25.CrossRefGoogle Scholar
Mehra, R, Benjamin, EJ, Shahar, E, et al. Association of nocturnal arrhythmias with sleep-disordered breathing: the sleep heart health study. Am J Respir Crit Care Med 2006; 173: 910–916.CrossRefGoogle ScholarPubMed
Kessler, R, Chaouat, A, Weitzenblum, E, et al. Pulmonary hypertension in the obstructive sleep apnoea syndrome: prevalence, causes and therapeutic consequences. Eur Respir J 1996; 9: 787–794.CrossRefGoogle ScholarPubMed
Fishberger, SB, Wernovsky, G, Gentles, TL, et al. Factors that influence the development of atrial flutter after the Fontan operation. J Thorac Cardiovasc Surg 1997; 113: 80–86.CrossRefGoogle ScholarPubMed
Watson, NF, Bushnell, T, Jones, TK, Stout, K. A novel method for the evaluation and treatment of obstructive sleep apnea in four adults with complex congenital heart disease and Fontan repairs. Sleep Breath 2009; 13: 421–424.CrossRefGoogle ScholarPubMed
Eisenberg, RL. Elevation of the diaphragm. In: Gastrointestinal Radiology: A Pattern Approach, 4th ed. Eisenberg, RL (ed.). 127 Lippincott Williams & Wilkins, Philadelphia, 2003, pp. 153.Google Scholar
Young, T, Palta, M, Dempsey, J, Skatrud, J, Weber, S, Badr, S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993; 328: 1230–1235.10.1056/NEJM199304293281704CrossRefGoogle ScholarPubMed
Lofland, GK. The enhancement of hemodynamic performance in Fontan circulation using pain free spontaneous ventilation. Eur J Cardiothorac Surg 2001; 20: 114–119.CrossRefGoogle ScholarPubMed