{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,7,10]],"date-time":"2022-07-10T00:08:10Z","timestamp":1657411690829},"reference-count":13,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2019,5,3]],"date-time":"2019-05-03T00:00:00Z","timestamp":1556841600000},"content-version":"unspecified","delay-in-days":2,"URL":"https:\/\/www.cambridge.org\/core\/terms"},{"start":{"date-parts":[[2019,5,3]],"date-time":"2019-05-03T00:00:00Z","timestamp":1556841600000},"content-version":"unspecified","delay-in-days":2,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951119000192_as1\"><jats:title>Objectives:<\/jats:title><jats:p>To analyse the feasibility and effectiveness in humanitarian practice of surgical management of children with single-ventricle heart condition.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951119000192_as2\"><jats:title>Methods:<\/jats:title><jats:p>Retrospective study of children with a single ventricle, managed by the association M\u00e9c\u00e9nat-Chirurgie Cardiaque since 1996, with long-term follow-up after their return home.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951119000192_as3\"><jats:title>Results:<\/jats:title><jats:p>Of the 138 children in our cohort, 119 had one or more surgeries (180 procedures): palliative surgery alone (systemic-pulmonary anastomosis or banding), 41; partial cavo-pulmonary connection, 47; total cavo-pulmonary connection (mean age 8.5 years), 31. Operative mortality is 5.5%. After a mean follow-up of 5.6 years, 18 children (13%) were lost to follow-up. Survival at 10 years is 79% in children receiving surgery (palliative only, 72%; partial cavo-pulmonary connection, 77%; total cavo-pulmonary connection, 97%) versus 29% in children with no surgical intervention. The prognosis is better for tricuspid atresia and double-inlet left ventricle (86 and 83% survival at 10 years) than for double-outlet right ventricle or complete atrio-ventricular canal defect (64 and 68% at 5 years).<\/jats:p><\/jats:sec><jats:sec id=\"S1047951119000192_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>The surgery of the single ventricle in humanitarian medicine allows a very satisfactory survival after one or more surgeries tending towards a total cavo-pulmonary connection as soon as possible.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951119000192","type":"journal-article","created":{"date-parts":[[2019,5,3]],"date-time":"2019-05-03T04:12:23Z","timestamp":1556856743000},"page":"583-588","update-policy":"http:\/\/dx.doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Surgery of single ventricles in humanitarian practice: surgery for which patients?"],"prefix":"10.1017","volume":"29","author":[{"given":"Marielle","family":"Gouton","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier Michel","family":"Bical","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joy","family":"Zoghbi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R\u00e9gine","family":"Roussin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent","family":"Lucet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francine","family":"Leca","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2019,5,3]]},"reference":[{"key":"S1047951119000192_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.05.055"},{"key":"S1047951119000192_ref9","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCHEARTFAILURE.117.004515"},{"key":"S1047951119000192_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2016.01.054"},{"key":"S1047951119000192_ref1","unstructured":"1. Association M\u00e9c\u00e9nat-Chirurgie Cardiaque\u2013 Enfants du monde. http:\/\/www.mecenat-cardiaque.org\/ (accessed 18\/09\/2018)"},{"key":"S1047951119000192_ref2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.007764"},{"key":"S1047951119000192_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2017.04.031"},{"key":"S1047951119000192_ref4","first-page":"243","article-title":"Long-term survival after the Fontan operation: twenty years of experience at a single center","volume":"154","author":"Downing","year":"2017","journal-title":"J Cardiothorac Surg"},{"key":"S1047951119000192_ref8","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2015-307467"},{"key":"S1047951119000192_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(03)00186-6"},{"key":"S1047951119000192_ref7","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.89.1.266"},{"key":"S1047951119000192_ref6","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2016-310108"},{"key":"S1047951119000192_ref3","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2015.00061"},{"key":"S1047951119000192_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2006.11.043"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951119000192","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,10,4]],"date-time":"2019-10-04T01:12:58Z","timestamp":1570151578000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951119000192\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["S1047951119000192"],"URL":"https:\/\/doi.org\/10.1017\/s1047951119000192","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5]]},"assertion":[{"value":"\u00a9 Cambridge University Press 2019\u00a0","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}