Vm. Joshi et al., EXERCISE PERFORMANCE FOLLOWING REPAIR OF HYPOPLASTIC LEFT-HEART SYNDROME - A COMPARISON WITH OTHER TYPES OF FONTAN PATIENTS, Pediatric cardiology, 18(5), 1997, pp. 357-360
Reports of exercise performance after Fontan surgery for hypoplastic l
eft heart syndrome (HLHS) are lacking. We compared the exercise perfor
mance of total cavopulmonary connection type (TCPC) of Fontan subjects
with HLHS (group 1, n = 7) to those not requiring a Norwood procedure
having a systemic right ventricle (group 2, n = 6) or a systemic left
ventricle (group 3, n = 8). The subjects underwent assessment of rest
ing pulmonary mechanics followed by maximal exercise testing with a bi
cycle or treadmill protocol. EGG, oxygen consumption, and carbon dioxi
de production were measured continuously, There was not a significant
difference seen between HLHS and the comparison groups for the followi
ng parameters: maximum heart rate, maximum oxygen consumption, respira
tory exchange ratio, breathing reserve, and arterial oxygen saturation
at rest or exercise, Exercise performance in the TCPC type of Fontan
patients was comparable regardless of ventricular morphology or surgic
al approach.