{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T08:53:41Z","timestamp":1790758421885,"version":"4.1.0"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T00:00:00Z","timestamp":1719187200000},"content-version":"vor","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Fontan surgery aims to palliate univentricular congenital heart diseases in which biventricular repair is not feasible. A large spectrum of early and late complications has been described in literature. However, pulmonary thromboembolism represents a rare complication in these patients, leading to a scarcity of evidence regarding diagnosis and treatment strategies.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We present a case of a 27-year-old woman born with a complex cyanotic congenital heart disease, namely pulmonary and tricuspid stenosis with subaortic interventricular communication and atrial septal defect, who underwent palliation surgery with Blalock\u2013Taussig shunt, bidirectional Glenn, and extracardiac Fontan. She developed acute respiratory failure and was admitted to the hospital, being diagnosed with bilateral thromboembolism. Since she was haemodynamically stable, initially, a conservative approach was chosen. However, due to no clinical improvement, she subsequently underwent bilateral thromboaspiration with restoration of pulmonary circulation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Due to the unique Fontan pathophysiology, the possible physiological and clinical implications of pulmonary thromboembolism in this condition are profound. Thus, care and imaging tests in specialized centres are important as the management of these patients is different from those with biventricular physiology.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae190","type":"journal-article","created":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T15:05:17Z","timestamp":1719241517000},"source":"Crossref","is-referenced-by-count":3,"title":["Successful thromboaspiration of bilateral pulmonary thromboembolism in a Fontan circulation patient: a case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1513-2424","authenticated-orcid":false,"given":"\u00c8lia","family":"Rif\u00e9-Pardo","sequence":"first","affiliation":[{"name":"Department of Cardiology, Research Institute Vall d\u2019Hebron University Hospital, CIBER-CV , Passeig Vall d'Hebr\u00f3n 119-129, 08035 Barcelona , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pau","family":"Rello","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Research Institute Vall d\u2019Hebron University Hospital, CIBER-CV , Passeig Vall d'Hebr\u00f3n 119-129, 08035 Barcelona , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonia","family":"Sambola","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Research Institute Vall d\u2019Hebron University Hospital, CIBER-CV , Passeig Vall d'Hebr\u00f3n 119-129, 08035 Barcelona , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blanca","family":"Gordon","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Research Institute Vall d\u2019Hebron University Hospital, CIBER-CV , Passeig Vall d'Hebr\u00f3n 119-129, 08035 Barcelona , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,6,24]]},"reference":[{"key":"2024062414203341800_ytae190-B1","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1161\/CIR.0000000000000696","article-title":"Evaluation and management of the child and adult with Fontan circulation: a scientific statement from the American Heart Association","volume":"140","author":"Rychik","year":"2019","journal-title":"Circulation"},{"key":"2024062414203341800_ytae190-B2","first-page":"163","volume-title":"Diagnosis and Management of Adult Congenital Heart Disease","author":"Deal","year":"2017","edition":"3rd ed"},{"key":"2024062414203341800_ytae190-B3","doi-asserted-by":"crossref","first-page":"S32","DOI":"10.1161\/CIRCULATIONAHA.113.007764","article-title":"Redefining expectations of long-term survival after Fontan procedure: 25 years of follow-up from the entire population of Australia and 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disease","volume":"42","author":"Baumgartner","year":"2021","journal-title":"Eur Heart J"},{"key":"2024062414203341800_ytae190-B7","doi-asserted-by":"crossref","first-page":"1024","DOI":"10.1016\/j.cjca.2022.01.028","article-title":"Coagulation and anticoagulation in Fontan patients","volume":"38","author":"Heidendael","year":"2022","journal-title":"Can J Cardiol"},{"key":"2024062414203341800_ytae190-B8","first-page":"e8326","article-title":"Optimizing computed tomography for detection of pulmonary thromboembolism in patients with Fontan circulation","volume":"12","author":"Radwan","year":"2020","journal-title":"Cureus"},{"key":"2024062414203341800_ytae190-B9","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1148\/rg.2016150233","article-title":"CT for assessment of thrombosis and PE in multiple stages of single-ventricle palliation: challenges and suggested protocols","volume":"36","author":"Ghadimi 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