Pulmonary vasodilator therapy as treatment for patients with a Fontan circulation: the Emperor’s new clothes?

PVRI Member Authors: Rolf Berger


With great interest we read the recent article by Wang et al. in Pulmonary Circulation presenting a meta-analysis on the efficacy and safety of pulmonary vasodilator therapy in patients with a Fontan circulation.1We commend the authors with this thorough attempt to provide an overview of the available evidence on this important and controversial topic. The authors report that they have performed a meta-analysis of randomized controlled trials (RCTs) and conclude that pulmonary vasodilator therapy, although not reducing mortality, improves peak oxygen consumption (pVO2), hemodynamics, and 6-min walking distance (6MWD) and reduces NYHA functional class statistically significantly based on nine studies.

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Pulmonary Circulation
Vasoreactivity: Vasoconstriction and Vasodilatation


Floris-Jan S. Ridderbos, Quint A.J. Hagdorn, Rolf M.F. Berger

Published in:

Pulmonary Circulation Vol 8: No 4 cover image

December 2018

Pulmonary Circulation Vol 8: No 4

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