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Lower limb exercise generates pulsatile flow into the pulmonary vascular bed in the setting of the Fontan circulation

Published online by Cambridge University Press:  28 February 2018

Rachael Cordina ,
David S. Celermajer  and
Yves d’Udekem
Rachael Cordina*
Affiliation:
Sydney Medical School, University of Sydney, Sydney, NSW, Australia Department of Cardiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia
David S. Celermajer
Affiliation:
Sydney Medical School, University of Sydney, Sydney, NSW, Australia Department of Cardiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia
Yves d’Udekem
Affiliation:
Heart Research Group, Murdoch Children’s Research Institute, Melbourne, VIC, Australia Department of Paediatrics, Faculty of Medicine, The University of Melbourne, Melbourne, VIC, Australia Department of Cardiac Surgery, Royal Children’s Hospital, Melbourne, VIC, Australia
*
Author for correspondence: Rachael Cordina, MBBS, PhD, FRACP, Department of Cardiology, Royal Prince Alfred Hospital, Missenden Rd, Camperdown, Sydney, NSW, Australia. Tel: +61 2 9515 6111; Fax: +61 2 9550 6262; E-mail: [email protected]
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Abstract

The absence of a subpulmonary ventricle in the Fontan circulation results in non-pulsatile pulmonary blood flow. Lower limb exercise in this setting can generate pulsatile pulmonary blood flow.

Keywords

Fontanexerciseperipheral muscle pumpskeletal muscleexercise physiology
Type
Images in Congenital Cardiac Disease
Information
Cardiology in the Young , Volume 28 , Issue 5 , May 2018 , pp. 732 - 733
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Copyright
© Cambridge University Press 2018 

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References

1. Cordina, RL, O’Meagher, S, Karmali, A, et al. Resistance training improves cardiac output, exercise capacity and tolerance to positive airway pressure in Fontan physiology. Int J Cardiol 2013; 168: 780–788.Google Scholar