Amir Esmaeeli

Instructor in Medicine

    • Source: Scopus
    20142021

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    The Fontan procedure is a palliative surgery of the heart. Numerous infants with only a single effective ventricle have undergone the procedure. As the population of Fontan patients grows and ages, new questions and challenges have emerged. Recent studies indicate that approximately 26% of Fontan patients have liver cirrhosis and an even higher percentage, 41%, exhibit hepatic complications. Hepatic complications, including liver cirrhosis, in Fontan patients are related to the duration post-procedure. The Fontan procedure is palliative, thus many Fontan patients ultimately require heart transplantation for survival. This is a significant problem for the medical community and Fontan patients, especially as the age of Fontan patients increases, since liver cirrhosis is considered by some cardiologists to be a relative contraindication for heart transplantation. The purpose of this study is to determine whether patients who underwent Fontan procedure and subsequently developed evidence of liver cirrhosis should be eligible for heart transplantation.�

    Areas of Clinical Interest

    Hospital medicine and general internal medicine

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