{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T22:12:04Z","timestamp":1778623924148,"version":"3.51.4"},"reference-count":26,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2013,2,7]],"date-time":"2013-02-07T00:00:00Z","timestamp":1360195200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951112002235_abs1\" sec-type=\"intro\"><jats:title>Introduction<\/jats:title><jats:p>The management of patients with Fontan physiology who undergo scoliosis surgery is difficult. The purpose of this article was to describe our experience in the management of patients with Fontan circulation undergoing spinal surgery for correction of scoliosis.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951112002235_abs2\" sec-type=\"materialsandmethods\"><jats:title>Materials and methods<\/jats:title><jats:p>This was a retrospective study including patients with Fontan physiology who underwent spinal orthopaedic surgery. Anaesthetic management, post-operative complications, paediatric intensive care unit and total hospital stay, and the need for blood transfusions were analysed.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951112002235_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>We identified eight children with Fontan physiology who had undergone spinal surgery from 2000 to 2010. All patients were receiving cardiac medications at the time of spinal surgery. The mean age at surgery was 14.8 years (range 12\u201321). In all, three patients needed inotropic support with dopamine (3, 5, and 8 \u03bcg\/kg\/min), which was started during surgery. During the immediate post-operative period, one patient died because of hypovolaemic shock caused by massive bleeding and dysrythmia. Mean blood loss during the post-operative period was 22.2 cc\/kg (7.8\u201344.6). Surgical drainages were maintained for a mean time of 3 days (range 1\u20137). The mean hospital stay was 9.2 days (range 6\u201319). Pleural effusions developed in two patients. On follow-up, one patient presented with thoracic pseudarthrosis and another with a serohaematoma of the surgical wound.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951112002235_abs4\" sec-type=\"conclusion\"><jats:title>Conclusions<\/jats:title><jats:p>Spinal surgery in patients with Fontan circulation is a high-risk operation. These patients must be managed by a specialised team.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951112002235","type":"journal-article","created":{"date-parts":[[2013,2,7]],"date-time":"2013-02-07T13:51:13Z","timestamp":1360245073000},"page":"73-78","source":"Crossref","is-referenced-by-count":7,"title":["Spinal surgery in the univentricular heart \u2013 is it viable?"],"prefix":"10.1017","volume":"24","author":[{"given":"C.","family":"P\u00e9rez-Caballero Macarr\u00f3n","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Sobrino Ruiz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Burgos Flores","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JL.","family":"V\u00e1zquez Mart\u00ednez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Coca P\u00e9rez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"\u00c1lvarez Rojas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JJ.","family":"S\u00e1nchez Ruas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2013,2,7]]},"reference":[{"key":"S1047951112002235_ref14","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318131b225"},{"key":"S1047951112002235_ref21","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000109883.18015.B9"},{"key":"S1047951112002235_ref6","first-page":"261","article-title":"Outline for the study of scoliosis","volume":"5","author":"Cobb","year":"1948","journal-title":"Instr Course Lect"},{"key":"S1047951112002235_ref5","doi-asserted-by":"crossref","first-page":"1126","DOI":"10.1016\/S0022-5223(19)33989-3","article-title":"Specific sequelae after Fontan operation at mid- and long term follow up. 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