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Ann Thorac Surg 2009;88:176. doi:10.1016/j.athoracsur.2009.05.061
© 2009 The Society of Thoracic Surgeons
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Original Articles: Pediatric Cardiac

Invited Commentary

Michael E. Mitchell, MD

Cardiothoracic Surgery, Medical College of Wisconsin, Children's Hospital of Wisconsin, 9000 W Wisconsin Ave, MS 715, Milwaukee, WI 53226

(Email: mmitchell@chw.org).

The first 20% of the full text of this article appears below.

It was with great interest that I read this work by Lacour-Gayet and colleagues [1] outlining a proposed conformational change for the extracardiac Fontan coupled with an axial-flow pump as a strategy for optimizing hemodynamics during mechanical cavopulmonary assistance of the univentricular circulation, the "artificial right ventricle (ARV)."

The paradox of the Fontan is the presence of simultaneous systemic venous hypertension and pulmonary arterial hypotension [2]. This current work builds upon the first experiments outlining mechanical cavopulmonary assistance for failing univentricular circulation, published by Rodefeld and colleagues in 2003 [3], which assessed the use of axial-flow pumps positioned in both the superior and inferior . . . [Full Text of this Article]


Related Article

An Artificial Right Ventricle for Failing Fontan: In Vitro and Computational Study
François G. Lacour-Gayet, Craig J. Lanning, Serban Stoica, Rui Wang, Bryan A. Rech, Steven Goldberg, and Robin Shandas
Ann. Thorac. Surg. 2009 88: 170-176. [Abstract] [Full Text] [PDF]





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