Key result
Abdominal imaging surveillance is essential to identify Fontan-associated liver disease and malignancies.
Why the study?
Improved survival in Fontan circulation brings extracardiac complications and increased malignancy risk, requiring familiarity with abdominal imaging findings and surveillance.
Highlights the importance of abdominal imaging surveillance for detecting Fontan-associated liver disease and malignancies in children and young adults with Fontan circulation.
Answers are grounded in this paper and cite their sources.
Abdominal imaging awareness may aid complication detection in Fontan patients; leaves open prospective validation of surveillance protocols.
Significant improvement in survival of patients with Fontan circulation is associated with ongoing cardiac and extracardiac comorbidities and multisystemic complications. The liver and intestines are particularly vulnerable to damage. In addition, this patient population has been shown to be at increased risk of certain malignancies such as hepatocellular carcinoma and neuroendocrine tumors. Familiarity with imaging findings of Fontan-associated liver disease and other abdominal complications of the Fontan circulation is essential for radiologists because we are likely to encounter these patients in our general practice.
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Chavhan et al. (2021) conducted a review in Fontan circulation. Abdominal imaging was evaluated. Familiarity with abdominal imaging findings is essential for radiologists to identify Fontan-associated liver disease, malignancies, and other complications in patients with Fontan circulation.
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