{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T14:25:47Z","timestamp":1786631147559,"version":"build-2736575974"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"vor","delay-in-days":3042,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2017,9,21]],"date-time":"2017-09-21T00:00:00Z","timestamp":1505952000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Management of adults with failing Fontan physiology poses many challenges, especially as transplantation offers the only realistic alternative to palliative care. We present the first combined heart and liver transplant performed in Europe, for a late survivor of single ventricle palliation with the Fontan circulation. In addition to the conventional medical and surgical challenges posed, we highlight the management of the associated multi-organ failure with focus on the liver and novel strategies for assessment and optimization.<\/jats:p>","DOI":"10.1002\/ehf2.12202","type":"journal-article","created":{"date-parts":[[2017,9,22]],"date-time":"2017-09-22T00:06:46Z","timestamp":1506038806000},"page":"675-678","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Combined Heart\u2013Liver Transplantation for Failing Fontan Circulation in a Late Survivor with Single-Ventricle Physiology"],"prefix":"10.1093","volume":"4","author":[{"given":"Phuoc","family":"Duong","sequence":"first","affiliation":[{"name":"Department of Congenital Cardiology, Freeman Hospital , Newcastle upon Tyne ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Coats","sequence":"additional","affiliation":[{"name":"Department of Congenital Cardiology, Freeman Hospital , Newcastle upon Tyne ,","place":["UK"]},{"name":"Institute of Genetic Medicine, Newcastle University , Newcastle upon Tyne ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"O'Sullivan","sequence":"additional","affiliation":[{"name":"Department of Congenital Cardiology, Freeman Hospital , Newcastle upon Tyne ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Crossland","sequence":"additional","affiliation":[{"name":"Department of Congenital Cardiology, Freeman Hospital , Newcastle upon Tyne ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beate","family":"Haugk","sequence":"additional","affiliation":[{"name":"Department of Pathology, Royal Victoria Infirmary , Newcastle upon Tyne ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonya V.","family":"Babu-Narayan","sequence":"additional","affiliation":[{"name":"National Heart and Lung Institute, Royal Brompton Hospital , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Keegan","sequence":"additional","affiliation":[{"name":"National Heart and Lung Institute, Royal Brompton Hospital , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Hudson","sequence":"additional","affiliation":[{"name":"Department of Hepatology and Hepatobiliary Surgery, Freeman Hospital , Newcastle upon Tyne ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gareth","family":"Parry","sequence":"additional","affiliation":[{"name":"Department of Congenital Cardiology, Freeman Hospital , Newcastle upon Tyne ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek","family":"Manas","sequence":"additional","affiliation":[{"name":"Department of Hepatology and Hepatobiliary Surgery, Freeman Hospital , Newcastle upon Tyne ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asif","family":"Hasan","sequence":"additional","affiliation":[{"name":"Department of Congenital Cardiology, Freeman Hospital , Newcastle upon Tyne ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2017,9,21]]},"reference":[{"key":"2026012115153497100_ehf212202-bib-0001","first-page":"39","article-title":"\u201cCorrection\u201d of tricuspid atresia. 2 cases \u201ccorrected\u201d using a new surgical technique","volume":"10","author":"Fontan","year":"1971","journal-title":"Ann Chir Thorac 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