{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T10:10:20Z","timestamp":1791454220284,"version":"4.3.3"},"reference-count":28,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100000968","name":"American Heart Association","doi-asserted-by":"crossref","award":["13PRE14580005"],"award-info":[{"award-number":["13PRE14580005"]}],"id":[{"id":"10.13039\/100000968","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000968","name":"American Heart Association","doi-asserted-by":"crossref","award":["10PRE3720002"],"award-info":[{"award-number":["10PRE3720002"]}],"id":[{"id":"10.13039\/100000968","id-type":"DOI","asserted-by":"crossref"}]}],"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":[[2016,1]]},"DOI":"10.1016\/j.athoracsur.2015.07.012","type":"journal-article","created":{"date-parts":[[2015,10,2]],"date-time":"2015-10-02T04:20:37Z","timestamp":1443759637000},"page":"183-189","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":10,"title":["Hemodynamic Impact of Superior Vena Cava Placement in the Y-Graft Fontan Connection"],"prefix":"10.1016","volume":"101","author":[{"given":"Maria","family":"Restrepo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. Colleen","family":"Crouch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher M.","family":"Haggerty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarek","family":"Rossignac","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy C.","family":"Slesnick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirk R.","family":"Kanter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajit P.","family":"Yoganathan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.athoracsur.2015.07.012_bib1","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1136\/thx.26.3.240","article-title":"Surgical repair of tricuspid atresia","volume":"26","author":"Fontan","year":"1971","journal-title":"Thorax"},{"issue":"5","key":"10.1016\/j.athoracsur.2015.07.012_bib2","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1016\/S0022-5223(19)35174-8","article-title":"Total cavopulmonary connection: a logical alternative to atriopulmonary connection for complex Fontan operations. Experimental studies and early clinical experience","volume":"96","author":"de Leval","year":"1988","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib3","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\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib4","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1016\/j.athoracsur.2005.02.024","article-title":"Specific issues after extracardiac fontan operation: ventricular function, growth potential, arrhythmia, and thromboembolism","volume":"80","author":"Chowdhury","year":"2005","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib5","doi-asserted-by":"crossref","first-page":"1759","DOI":"10.1016\/S0003-4975(03)00450-8","article-title":"Pulmonary arteriovenous malformations after cavopulmonary anastomosis","volume":"76","author":"Duncan","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib6","doi-asserted-by":"crossref","first-page":"960","DOI":"10.1016\/S0003-4975(96)00961-7","article-title":"Pulmonary AV malformations after superior cavopulmonary connection: resolution after inclusion of hepatic veins in the pulmonary circulation","volume":"63","author":"Shah","year":"1997","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib7","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1136\/heartjnl-2014-306337","article-title":"Exercise capacity in single-ventricle patients after Fontan correlates with haemodynamic energy loss in TCPC","volume":"101","author":"Khiabani","year":"2015","journal-title":"Heart"},{"issue":"11 Suppl","key":"10.1016\/j.athoracsur.2015.07.012_bib8","first-page":"I165","article-title":"Nonlinear power loss during exercise in single-ventricle patients after the Fontan: insights from computational fluid dynamics","volume":"116","author":"Whitehead","year":"2007","journal-title":"Circulation"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib9","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1007\/s10439-006-9224-3","article-title":"Effects of exercise and respiration on hemodynamic efficiency in CFD simulations of the total cavopulmonary connection","volume":"35","author":"Marsden","year":"2007","journal-title":"Ann Biomed Eng"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/icvts\/ivt099","article-title":"Haemodynamic comparison of a novel flow-divider Optiflo geometry and a traditional total cavopulmonary connection","volume":"17","author":"Desai","year":"2013","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib11","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1016\/j.jtcvs.2008.06.043","article-title":"Evaluation of a novel Y-shaped extracardiac Fontan baffle using computational fluid dynamics","volume":"137","author":"Marsden","year":"2009","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib12","doi-asserted-by":"crossref","first-page":"1890","DOI":"10.1016\/j.cma.2007.12.009","article-title":"A\u00a0computational framework for derivative-free optimization of cardiovascular geometries","volume":"197","author":"Marsden","year":"2008","journal-title":"Comput Methods Appl Mech Eng"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib13","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1007\/s10439-006-9224-3","article-title":"Effects of exercise and respiration on hemodynamic efficiency in CFD simulations of the total cavopulmonary connection","volume":"35","author":"Marsden","year":"2007","journal-title":"Ann Biomed Eng"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib14","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1016\/j.jtcvs.2012.03.076","article-title":"Simulating hemodynamics of the Fontan Y-graft based on patient-specific in\u00a0vivo connections","volume":"145","author":"Haggerty","year":"2013","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib15","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.jtcvs.2012.05.015","article-title":"Preliminary clinical experience with a bifurcated Y-graft Fontan procedure-A feasibility study","volume":"144","author":"Kanter","year":"2012","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib16","doi-asserted-by":"crossref","first-page":"2182","DOI":"10.1016\/j.athoracsur.2006.12.079","article-title":"Introduction of a new optimized total cavopulmonary connection","volume":"83","author":"Soerensen","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib17","first-page":"4316","article-title":"Virtual surgeries in patients with congenital heart disease: a multi-scale modelling test case","volume":"369","author":"Baretta","year":"2011","journal-title":"Philos Transact A Math Phys Eng Sci"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib18","doi-asserted-by":"crossref","first-page":"1170","DOI":"10.1016\/j.jtcvs.2010.11.032","article-title":"Individualized computer-based surgical planning to address pulmonary arteriovenous malformations in patients with a single ventricle with an interrupted inferior vena cava and azygous continuation","volume":"141","author":"de Zelicourt","year":"2011","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib19","first-page":"202","article-title":"Anatomically realistic patient-specific surgical planning of complex congenital heart defects using MRI and CFD","volume":"2007","author":"Sundareswaran","year":"2007","journal-title":"Conf Proc IEEE Eng Med Biol Soc"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib20","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1109\/TBME.2002.807651","article-title":"Application of an adaptive control grid interpolation technique to morphological vascular reconstruction","volume":"50","author":"Frakes","year":"2003","journal-title":"IEEE Trans Biomed Eng"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib21","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1081\/JCMR-200053637","article-title":"New techniques for the reconstruction of complex vascular anatomies from MRI images","volume":"7","author":"Frakes","year":"2005","journal-title":"J\u00a0Cardiovasc Magn Reson"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib22","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1002\/jmri.21579","article-title":"Optimum fuzzy filters for phase-contrast magnetic resonance imaging segmentation","volume":"29","author":"Sundareswaran","year":"2009","journal-title":"J\u00a0Magn Reson Imaging"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib23","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1007\/s11517-008-0377-0","article-title":"Patient-specific surgical planning and hemodynamic computational fluid dynamics optimization through free-form haptic anatomy editing tool (SURGEM)","volume":"46","author":"Pekkan","year":"2008","journal-title":"Med Biol Eng Comput"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib24","doi-asserted-by":"crossref","first-page":"1749","DOI":"10.1016\/j.compfluid.2009.03.005","article-title":"Flow simulations in arbitrarily complex cardiovascular anatomies\u2014an unstructured Cartesian grid approach","volume":"38","author":"de Z\u00e9licourt","year":"2009","journal-title":"Computers Fluids"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib25","doi-asserted-by":"crossref","first-page":"1481","DOI":"10.1016\/j.jtcvs.2013.11.060","article-title":"Fontan Hemodynamics from 100 patient-specific cardiac magnetic resonance studies: a computational fluid dynamics analysis","volume":"148","author":"Haggerty","year":"2014","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib26","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.jcmg.2013.12.010","article-title":"Geometric characterization of patient-specific total cavopulmonary connections and its relationship to hemodynamics","volume":"7","author":"Tang","year":"2014","journal-title":"JACC Cardiovasc Imaging"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib27","doi-asserted-by":"crossref","first-page":"2135","DOI":"10.1016\/j.cma.2010.03.012","article-title":"Constrained optimization of an idealized Y-shaped baffle for the Fontan surgery at rest and exercise","volume":"199","author":"Yang","year":"2010","journal-title":"Comput Methods Appl Mech Eng"},{"key":"10.1016\/j.athoracsur.2015.07.012_bib28","doi-asserted-by":"crossref","first-page":"011002","DOI":"10.1115\/1.4023089","article-title":"Optimization of a Y-graft design for improved hepatic flow distribution in the fontan circulation","volume":"135","author":"Yang","year":"2013","journal-title":"J\u00a0Biomech Eng"}],"container-title":["The Annals of Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497515012011?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497515012011?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T03:26:00Z","timestamp":1757733960000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003497515012011"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1]]},"references-count":28,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016,1]]}},"alternative-id":["S0003497515012011"],"URL":"https:\/\/doi.org\/10.1016\/j.athoracsur.2015.07.012","relation":{},"ISSN":["0003-4975"],"issn-type":[{"value":"0003-4975","type":"print"}],"subject":[],"published":{"date-parts":[[2016,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Hemodynamic Impact of Superior Vena Cava Placement in the Y-Graft Fontan Connection","name":"articletitle","label":"Article Title"},{"value":"The Annals of Thoracic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2015.07.012","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}