{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T22:01:17Z","timestamp":1757455277060},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2014,9,23]],"date-time":"2014-09-23T00:00:00Z","timestamp":1411430400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["journals.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objectives:<\/jats:italic>The improved management of Fontan patients has resulted in good outcome. As such, these patients may necessitate care for non-cardiac surgery. We sought to determine the long-term outcome of our Fontan series palliated with the most recent surgical techniques. Our second objective was to report the incidence and the perioperative course after non-cardiac procedures. We reviewed the records of all patients with either a lateral tunnel or an extracardiac conduit Fontan between 1996 and 2008. Follow-up was recorded until June, 2013, including records regarding non-cardiac interventions.<jats:italic>Results:<\/jats:italic>Overall, 58 patients were included. Of them, one patient underwent a takedown of his Fontan, and five patients died in the immediate postoperative course. The cumulative survival of the remaining 52 patients was 81%. There was no significant difference in survival between right and left ventricle morphologies (p=0.56), nor between both types of Fontan (p=0.9). Chronic arrhythmias (25%), fatigue\/dyspnoea (40%), thrombotic complications (19%), and embolic events (10%) were among the most recurrent comorbidities. In total, 45 non-cardiac interventions were performed on 26 patients, with three bleeding complications and one death.<jats:italic>Conclusions:<\/jats:italic>This study shows excellent long-term survival after both lateral tunnel and extracardiac conduit Fontan. The incidence of cardiovascular morbidity remains high, however. We also report a high number of non-cardiac interventions. Thorough understanding of the Fontan physiology is mandatory when non-cardiac anaesthesiologists are in charge of these patients.<\/jats:p>","DOI":"10.1017\/s1047951114001814","type":"journal-article","created":{"date-parts":[[2014,9,23]],"date-time":"2014-09-23T12:16:32Z","timestamp":1411474592000},"page":"1148-1154","update-policy":"http:\/\/dx.doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Long-term outcome and anaesthetic management for non-cardiac surgery after Fontan palliation: a single-centre retrospective analysis"],"prefix":"10.1017","volume":"25","author":[{"given":"Thomas","family":"Palumbo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thierry","family":"Sluysmans","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean E.","family":"Rubay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alain J.","family":"Poncelet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mona","family":"Momeni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2014,9,23]]},"reference":[{"key":"S1047951114001814_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(03)00186-6"},{"key":"S1047951114001814_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.05.076"},{"key":"S1047951114001814_ref13","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2002.119337"},{"key":"S1047951114001814_ref15","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-0803.2012.00699.x"},{"key":"S1047951114001814_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2005.08.047"},{"key":"S1047951114001814_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.01.061"},{"key":"S1047951114001814_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.11.049"},{"key":"S1047951114001814_ref4","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1161\/CIRCULATIONAHA.106.676445","article-title":"The Fontan procedure: contemporary techniques have improved long-term outcomes","volume":"116","author":"d\u2019Udekem","year":"2007","journal-title":"Circulation"},{"key":"S1047951114001814_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.01.074"},{"key":"S1047951114001814_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(96)00344-X"},{"key":"S1047951114001814_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/1010-7940(89)90088-2"},{"key":"S1047951114001814_ref1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.26.3.240"},{"key":"S1047951114001814_ref7","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2001.116947"},{"key":"S1047951114001814_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.01.060"},{"key":"S1047951114001814_ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-010-9808-4"},{"key":"S1047951114001814_ref16","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-2308"},{"key":"S1047951114001814_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(03)01010-5"},{"key":"S1047951114001814_ref19","doi-asserted-by":"publisher","DOI":"10.1161\/hc0202.102237"},{"key":"S1047951114001814_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2006.11.043"},{"key":"S1047951114001814_ref20","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12020"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951114001814","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,17]],"date-time":"2022-04-17T16:41:20Z","timestamp":1650213680000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951114001814\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,9,23]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,8]]}},"alternative-id":["S1047951114001814"],"URL":"https:\/\/doi.org\/10.1017\/s1047951114001814","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,9,23]]},"assertion":[{"value":"\u00a9 Cambridge University Press 2014\u00a0","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}