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Anesthesiology Research and Practice
Volume 2012, Article ID 475015, 5 pages
http://dx.doi.org/10.1155/2012/475015
Review Article

An Adult Patient with Fontan Physiology: A TEE Perspective

1Anesthesiology, Miller School of Medicine, Jackson Memorial Hospital, University of Miami, Miami, FL 33136, USA
2Anesthesiology, Memorial Regional Hospital East, Hollywood, FL 33136, USA
3Division of Cardiothoracic Surgery, Miller School of Medicine, Jackson Memorial Hospital, University of Miami, FL 33136, USA

Received 25 July 2011; Revised 31 October 2011; Accepted 14 November 2011

Academic Editor: Mukesh Tripathi

Copyright © 2012 Edward Gologorsky et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Supplementary Material

Loop 1. The midesophageal four chambers view. Arrow points to the IVC-PA communication. Spontaneous echo contrast suggests a low velocity blood flow. RA, right atrial remnant. LA, left atrium. RV, right ventricle. LV, left ventricle. VSD, ventricular septal defect.

Loop 2. The upper esophageal view. Color Doppler examination of IVC-to-PA communication suggests a laminar flow. IVC, inferior vena cava. PA, pulmonary artery.

Loop 3. Spontaneous echo contrast (arrow) in the severely dilated inferior vena cava (IVC) suggests a low velocity flow with a potential for thrombi formation.

Loop 4. The midesophageal long axis view. Aorta originates from the coarsely hypertrophied right ventricle (RV). A non-restrictive ventricular septal defect (VSD) allows the left ventricular (LV) outflow towards the aorta. LA, left atrium. IVS, interventricular septum.

Loop 5. Deep transgastric long axis view. Left ventricular (LV) contractility is preserved, right ventricle (RV) is hypertrophied. Aorta is seen arising from the RV. A non-restrictive ventricular septal defect (VSD) allows the left ventricular (LV) outflow towards the aorta.

Loop 6. The midesophageal long axis view. Color Doppler of the LV outflow suggests a laminar flow.

  1. Supplementary Material