Hemodynamic Effects of Paracentesis in a Patient With a Fontan Circulation. Issue 3 (May 2019)

• Record Type: Journal Article
• Authors: Rajpal, Saurabh; Opotowsky, Alexander R.; Rutherford, Anna; Wu, Fred
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 10:Issue 3(2019)
• Page Start: 357
• Page End: 359
• Publication Date: 2019-05
• Subjects: Fontan procedure -- ascites -- paracentesis -- hemodynamic -- congenital heart disease -- cardiac output; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135118779351
• Languages: English
• ISSNs: 2150-1351

Abstract

Recurrent ascites is a common manifestation of failing Fontan circulation. We present the hemodynamic response to large-volume paracentesis in a patient with Fontan circulation and Fontan-associated liver disease, documenting an immediate and substantial decline in systemic venous pressure and increase in cardiac output. These preliminary observations may have implications for the management of ascites in adults with Fontan circulation.