{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:18:30Z","timestamp":1791829110510,"version":"4.3.4"},"reference-count":30,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2006,11,1]],"date-time":"2006-11-01T00:00:00Z","timestamp":1162339200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2006,11,1]],"date-time":"2006-11-01T00:00:00Z","timestamp":1162339200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["annalsthoracicsurgery.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Annals of Thoracic Surgery"],"published-print":{"date-parts":[[2006,11]]},"DOI":"10.1016\/j.athoracsur.2006.05.106","type":"journal-article","created":{"date-parts":[[2006,10,24]],"date-time":"2006-10-24T13:57:34Z","timestamp":1161698254000},"page":"1611-1620","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":41,"title":["Outcomes of the Fontan Procedure Using Cardiopulmonary Bypass with Aortic Cross-Clamping"],"prefix":"10.1016","volume":"82","author":[{"given":"David B.","family":"Meyer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillermo","family":"Zamora","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gil","family":"Wernovsky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard F.","family":"Ittenbach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul R.","family":"Gallagher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Tabbutt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J.","family":"Gruber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan C.","family":"Nicolson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. William","family":"Gaynor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas L.","family":"Spray","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.athoracsur.2006.05.106_bib1","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1016\/S0003-4975(00)01438-7","article-title":"Interventions associated with minimal Fontan mortality","volume":"70","author":"Van Arsdell","year":"2000","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib2","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1067\/mtc.2002.119337","article-title":"Predictors of outcome after the Fontan operation: is hypoplastic left heart syndrome still a risk factor?","volume":"123","author":"Gaynor","year":"2002","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib3","doi-asserted-by":"crossref","first-page":"1110","DOI":"10.1067\/mtc.2000.106656","article-title":"Early results of the Fontan procedure in one hundren consecutive patients with hypoplastic left heart syndrome","volume":"119","author":"Mosca","year":"2000","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib4","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1067\/mtc.2001.111422","article-title":"Long-term results of the lateral tunnel Fontan operation","volume":"121","author":"Stamm","year":"2001","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib5","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1016\/S1010-7940(98)00078-5","article-title":"Establishment of total cavopulmonary connection without use of cardiopulmonary bypass","volume":"13","author":"Uemura","year":"1998","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib6","doi-asserted-by":"crossref","first-page":"1826","DOI":"10.1016\/S0003-4975(98)00928-X","article-title":"Extracardiac conduit Fontan procedure without cardiopulmonary bypass","volume":"66","author":"McElhinney","year":"1998","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib7","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1053\/j.pcsu.2004.02.006","article-title":"Fontan completion without surgery","volume":"7","author":"Galantowicz","year":"2004","journal-title":"Semin Thorac Cardiovasc Surg Pediatr Card Surg Ann"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib8","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1038\/ncpcardio0133","article-title":"The Fontan operation in clinical practice: indications and controversies","volume":"2","author":"Van Doorn","year":"2005","journal-title":"Nat Clin Pract Cardiovasc Med"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib9","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1016\/S0022-5223(03)01184-X","article-title":"Midterm surgical results of total cavopulmonary connection: clinical advantages of the extracardiac method","volume":"127","author":"Nakano","year":"2004","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib10","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.1067\/mtc.2001.116947","article-title":"Extracardiac conduit versus lateral tunnel cavopulmonary connections at a single institution: impact on outcomes","volume":"122","author":"Azakie","year":"2001","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib11","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/j.ejcts.2005.06.035","article-title":"Intermediate-term outcome following the Fontan operation: a survival, functional, and risk-factor analysis","volume":"28","author":"Alphonso","year":"2005","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib12","doi-asserted-by":"crossref","first-page":"1826","DOI":"10.1016\/S0003-4975(98)00928-X","article-title":"Extracardiac conduit Fontan procedure without cardiopulmonary bypass","volume":"66","author":"McElhinney","year":"1998","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib13","unstructured":"Petrossian E, Raddy VM, Collins KK, et al. The extracardiac conduit Fontan operation using minimal approach extracorporeal circulation: short and long term outcomes. Abstract, American Association of Thoracic Surgery, 2005. Available at http:\/\/www.aats.org\/annualmeeting\/Abstracts\/2005\/9969.html. Accessed Jan 31, 2006."},{"key":"10.1016\/j.athoracsur.2006.05.106_bib14","doi-asserted-by":"crossref","first-page":"S1416","DOI":"10.1016\/S0003-4975(02)03922-X","article-title":"The extracardiac Fontan procedure without cardiopulmonary bypass: technique and intermediate term results","volume":"74","author":"Yetman","year":"2002","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib15","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1177\/021849230501300307","article-title":"Total cavopulmonary connection with off-pump technique","volume":"13","author":"Xu","year":"2005","journal-title":"Asian Cardiovasc Thorac Ann"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib16","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/S0022-5223(97)70183-1","article-title":"Fontan operation in five hundred consecutive patients: factors influencing early and late outcome","volume":"114","author":"Gentles","year":"1997","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib17","doi-asserted-by":"crossref","first-page":"1541","DOI":"10.1016\/S0003-4975(01)02465-1","article-title":"Total cavopulmonary connections in children with a previous Norwood procedure","volume":"71","author":"Azakie","year":"2001","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib18","doi-asserted-by":"crossref","first-page":"1636","DOI":"10.1016\/S0003-4975(01)03039-9","article-title":"Improving outcomes of the Fontan procedure in children with atrial isomerism and heterotaxy syndromes","volume":"72","author":"Azakie","year":"2001","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib19","doi-asserted-by":"crossref","first-page":"1967","DOI":"10.1016\/S0003-4975(02)04124-3","article-title":"Improving results of the modified Fontan operation in patients with heterotaxy syndrome","volume":"74","author":"Stamm","year":"2002","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib20","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.1016\/S0003-4975(03)01010-5","article-title":"Lateral tunnel versus extracardiac conduit Fontan procedure: a concurrent comparison","volume":"76","author":"Kumar","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib21","doi-asserted-by":"crossref","first-page":"1664","DOI":"10.1016\/j.jtcvs.2003.09.011","article-title":"Risk factors for persistent pleural effusions after the extracardiac Fontan procedure","author":"Gupta","year":"2004","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib22","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1016\/j.jtcvs.2003.07.053","article-title":"Tricuspid valve repair in hypoplastic left heart syndrome","volume":"127","author":"Ohye","year":"2004","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib23","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/S0002-9149(00)00922-X","article-title":"Influence of ventricular morphology on outcome after bidirectional Glenn and Fontan procedures","volume":"86","author":"Julsrud","year":"2000","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib24","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/j.athoracsur.2004.07.004","article-title":"Early outcome after Glenn shunt and Fontan palliation and the impact of operation during the viral respiratory season: analysis of a 19-year multi-institutional experience","volume":"79","author":"Nicolas","year":"2005","journal-title":"Ann Thorac Surg"},{"issue":"supp I","key":"10.1016\/j.athoracsur.2006.05.106_bib25","doi-asserted-by":"crossref","first-page":"I-148","DOI":"10.1161\/hc37t1.094817","article-title":"Factors related to pleural effusions after Fontan procedure in the era of fenestration","volume":"104","author":"Fedderly","year":"2001","journal-title":"Circulation"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib26","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1017\/S1047951100008106","article-title":"Improvement in growth, and levels of insulin-like growth factor-I in the serum, after cavopulmonary connections","volume":"10","author":"Stenbog","year":"2000","journal-title":"Cardiol Young"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib27","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1016\/j.ejcts.2004.07.021","article-title":"Comparison of somatic development and status of conduit after extracardiac Fontan operation in older children","volume":"6","author":"Ovroutski","year":"2004","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib28","doi-asserted-by":"crossref","first-page":"1979","DOI":"10.1016\/j.athoracsur.2004.02.107","article-title":"New onset arrhythmias after the extracardiac conduit Fontan operation compared with the intra-atrial lateral tunnel procedure: early and midterm results","volume":"78","author":"Nurnberg","year":"2004","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib29","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/S1092-9126(98)70004-3","article-title":"Fenestration of the Fontan baffle: benefits and complications","volume":"1","author":"Bridges","year":"1998","journal-title":"Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu"},{"key":"10.1016\/j.athoracsur.2006.05.106_bib30","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1161\/hc0202.102237","article-title":"Fenestration improves clinical outcome of the Fontan procedure: a prospective, randomized study","volume":"105","author":"Lemler","year":"2002","journal-title":"Circulation"}],"container-title":["The Annals of Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497506011179?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497506011179?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T00:38:55Z","timestamp":1757723935000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003497506011179"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,11]]},"references-count":30,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2006,11]]}},"alternative-id":["S0003497506011179"],"URL":"https:\/\/doi.org\/10.1016\/j.athoracsur.2006.05.106","relation":{},"ISSN":["0003-4975"],"issn-type":[{"value":"0003-4975","type":"print"}],"subject":[],"published":{"date-parts":[[2006,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Outcomes of the Fontan Procedure Using Cardiopulmonary Bypass with Aortic Cross-Clamping","name":"articletitle","label":"Article Title"},{"value":"The Annals of Thoracic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2006.05.106","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2006 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}