{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T17:08:22Z","timestamp":1785431302679,"version":"3.56.0"},"reference-count":19,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This case describes a 32-year-old adult male who was incidentally diagnosed with isolated dextrocardia, Double inlet left ventricle (l-looped), l-transposed great arteries with subpulmonary stenosis during evaluation for an orbital abscess. This case highlights protective factors that enabled this patient\u2019s survival into adulthood without cardiac surgeries or medications despite single ventricle physiology, namely his \u201cself-banded\u201d pulmonary flow.<\/jats:p>","DOI":"10.1017\/s1047951125101340","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T07:37:36Z","timestamp":1763710656000},"page":"2570-2574","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Incidental diagnosis of a complex cyanotic congenital heart defect in a 32-year-old with orbital abscess"],"prefix":"10.1017","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7553-8487","authenticated-orcid":false,"given":"Som","family":"Singh","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03gds6c39","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Texas Health Sciences Center at Houston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"John","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03gds6c39","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Texas Health Sciences Center at Houston"},{"name":"University of Texas Health Sciences Center at Houston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Xiong","sequence":"additional","affiliation":[{"name":"Children\u2019s Memorial Hermann Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santosh C.","family":"Uppu","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03gds6c39","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Texas Health Sciences Center at Houston"},{"name":"University of Texas Health Sciences Center at Houston"},{"name":"University of Texas Health Sciences Center at Houston"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,11,21]]},"reference":[{"key":"S1047951125101340_ref6","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezx022"},{"key":"S1047951125101340_ref1","first-page":"100464","article-title":"Palliating the unpalliated adult single ventricle patient \u2013 options and review of literature","volume":"13","author":"McLean","year":"2023","journal-title":"Int J Cardiol Congenit Heart Dis"},{"key":"S1047951125101340_ref8","first-page":"e2021260","article-title":"The pathophysiology and complications of Fontan circulation","volume":"92","author":"Mazza","year":"2021","journal-title":"Acta Bio Medica Atenei Parm"},{"key":"S1047951125101340_ref4","first-page":"216","article-title":"Survival and outcomes of patients with unoperated single ventricle","volume":"102","author":"Poterucha","year":"2016","journal-title":"Heart Br Card Soc"},{"key":"S1047951125101340_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2005.03.061"},{"key":"S1047951125101340_ref3","unstructured":"3. (PDF) Fontan Circulation: How a Model can Hinder or Help to Understand and Manage a Complex Problem. Accessed February 18, 2025. https:\/\/www.researchgate.net\/publication\/388978958_Fontan_Circulation_How_a_Model_can_Hinder_or_Help_to_Understand_and_Manage_a_Complex_Problem."},{"key":"S1047951125101340_ref10","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2021.07.049"},{"key":"S1047951125101340_ref17","first-page":"e47119","article-title":"Bacterial brain abscesses in a patient with transposition of the great arteries and interventricular communication","volume":"15","author":"G\u00f3mez-Guti\u00e9rrez","year":"2023","journal-title":"Cureus"},{"key":"S1047951125101340_ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-020-02291-5"},{"key":"S1047951125101340_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2023.e22198"},{"key":"S1047951125101340_ref11","first-page":"453","article-title":"The Fontan procedure: anatomy, complications, and manifestations of failure","volume":"31","author":"Fredenburg","year":"2011","journal-title":"Radiogr Rev Publ Radiol Soc N Am Inc"},{"key":"S1047951125101340_ref7","first-page":"100457","article-title":"Long-term outcomes of patients with single ventricle who do not undergo Fontan palliation","volume":"12","author":"Zheng","year":"2023","journal-title":"Int J Cardiol Congenit Heart Dis"},{"key":"S1047951125101340_ref16","first-page":"100503","article-title":"Long-term survival in patients with univentricular heart: a nationwide, register-based cohort study","volume":"15","author":"\u00d6zt\u00fcrk","year":"2024","journal-title":"Int J Cardiol Congenit Heart Dis"},{"key":"S1047951125101340_ref18","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjad703"},{"key":"S1047951125101340_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(97)89356-3"},{"key":"S1047951125101340_ref12","unstructured":"12. Fontan-Associated Liver Disease | Circulation. Accessed November 5, 2024. https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCULATIONAHA.120.045597."},{"key":"S1047951125101340_ref5","first-page":"007","article-title":"Congenital heart defects in adults : a field guide for cardiologists","volume":"01","author":"Romfh","year":"2012","journal-title":"J Clin Exp Cardiol"},{"key":"S1047951125101340_ref2","first-page":"172","article-title":"Long-term survival with an unrepaired single ventricle: what is your dangerous idea?","volume":"102","author":"Opotowsky","year":"2016","journal-title":"Heart Br Card Soc"},{"key":"S1047951125101340_ref15","unstructured":"15. Redefining Expectations of Long-Term Survival After the Fontan Procedure | Circulation. Accessed May 8, 2025. https:\/\/www.ahajournals.org\/doi\/10.1161\/circulationaha.113.007764."}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951125101340","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T11:34:55Z","timestamp":1778758495000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951125101340\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,21]]},"references-count":19,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["S1047951125101340"],"URL":"https:\/\/doi.org\/10.1017\/s1047951125101340","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,21]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}