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Exercise-dependent changes in ventricular-arterial coupling and aortopulmonary collateral flow in Fontan patients: a real-time CMR study.

Heiner LatusLucas HofmannKerstin GummelMarkus KhalilCan YerebakanBirgit WaschulzikDietmar SchranzInga VogesChristian JuxBettina Reich
Published in: European heart journal. Cardiovascular Imaging (2022)
Inefficient V-A coupling was already present at rest in Fontan patients and aggravated during exercise due to a limited increase in ventricular contractility which demonstrates the importance of a limited functional reserve of the single ventricle. APC flow remained unchanged suggesting no further increase in volume load during exercise.
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