{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T22:02:36Z","timestamp":1766268156167,"version":"3.41.2"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,6,15]],"date-time":"2024-06-15T00:00:00Z","timestamp":1718409600000},"content-version":"vor","delay-in-days":14,"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>There is limited evidence for the use of an intra-aortic balloon pump (IABP) in adult patients with a total cavopulmonary, or Fontan circulation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A patient in his twenties with a Fontan circulation presented with sepsis, pneumonia, and pulmonary oedema. He was born with a hypoplastic left ventricle, atrioventricular septal defect, and hypoplastic aortic arch, and a total cavopulmonary circulation had been established within his first years of life. Standard of care treatment with antibiotics, non-invasive ventilatory support, loop diuretics, and vasopressors was initiated. Due to persistent pulmonary congestion and increasing general fatigue, an IABP was placed via a femoral artery to offload the failing systemic ventricle. Secondary to IABP treatment, mean arterial pressure rose, and vasodilatory nitroprusside could be introduced. Over 4 days of IABP treatment, the patient\u2019s general condition and ventricular systolic function improved significantly.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>This case suggests that IABP treatment was important in the recovery of our patient with a Fontan circulation, pneumonia, and heart failure. We propose that during IABP treatment, an increase in stroke volume and a reduction in ventricular filling pressure is achieved, thereby increasing the transpulmonary pressure gradient that is central to pulmonary blood flow in Fontan patients. More definitive evidence is necessary to confirm our hypotheses.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae289","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T15:36:49Z","timestamp":1718379409000},"source":"Crossref","is-referenced-by-count":2,"title":["Intra-aortic balloon pump treatment in an adult patient with a Fontan circulation and acute heart failure: a case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4880-3019","authenticated-orcid":false,"given":"Miriam Sj\u00e5stad","family":"Langseth","sequence":"first","affiliation":[{"name":"Department of Cardiology, Oslo University Hospital, Rikshospitalet , PB 4956 Nydalen, 0424 Oslo , Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1527-9772","authenticated-orcid":false,"given":"Njord","family":"Nordstrand","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Oslo University Hospital, Rikshospitalet , PB 4956 Nydalen, 0424 Oslo , Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6400-3097","authenticated-orcid":false,"given":"Gunnar","family":"Erikssen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Oslo University Hospital, Rikshospitalet , PB 4956 Nydalen, 0424 Oslo , Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,6,15]]},"reference":[{"key":"2024062416083986300_ytae289-B1","doi-asserted-by":"crossref","first-page":"e006130","DOI":"10.1161\/CIRCHEARTFAILURE.119.006130","article-title":"Intra-aortic balloon pump as a bridge to heart transplant after non-ST-segment-elevation myocardial infarction in palliated hypoplastic left heart syndrome","volume":"12","author":"Osula","year":"2019","journal-title":"Circ Heart Fail"},{"key":"2024062416083986300_ytae289-B2","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1111\/j.1747-0803.2007.00143.x","article-title":"Intra-aortic balloon pump use in the failing Fontan circulation","volume":"3","author":"Moran","year":"2008","journal-title":"Congenit Heart Dis"},{"key":"2024062416083986300_ytae289-B3","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1378\/chest.93.3.599","article-title":"Efficacy of intra-aortic balloon pumping for failing Fontan circulation","volume":"93","author":"Nawa","year":"1988","journal-title":"Chest"},{"key":"2024062416083986300_ytae289-B4","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1136\/pgmj.2006.053611","article-title":"The role of the intra-aortic balloon pump in supporting children with acute cardiac failure","volume":"83","author":"Collison","year":"2007","journal-title":"Postgrad Med J"},{"key":"2024062416083986300_ytae289-B5","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1016\/S0003-4975(01)03563-9","article-title":"Current results with intraaortic balloon pumping in infants and children","volume":"73","author":"Pinkney","year":"2002","journal-title":"Ann Thorac Surg"},{"key":"2024062416083986300_ytae289-B6","doi-asserted-by":"crossref","first-page":"1382","DOI":"10.1016\/j.jtcvs.2006.02.016","article-title":"Intra-aortic balloon pumping in children undergoing cardiac surgery: an update of the Liverpool experience","volume":"131","author":"Kalavrouziotis","year":"2006","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024062416083986300_ytae289-B7","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1161\/01.CIR.45.1.11","article-title":"Effect of coronary artery disease and acute myocardial infarction on left ventricular compliance in man","volume":"45","author":"Diamond","year":"1972","journal-title":"Circulation"},{"key":"2024062416083986300_ytae289-B8","first-page":"122","article-title":"Effectiveness of intra-aortic balloon counterpulsation on systolic unloading","volume":"23","author":"Akyurekli","year":"1980","journal-title":"Can J Surg"},{"key":"2024062416083986300_ytae289-B9","doi-asserted-by":"crossref","first-page":"e941098","DOI":"10.12659\/AJCR.941098","article-title":"Successful treatment of sepsis-induced cardiomyopathy with intra-aortic balloon pumping: a case report and literature review","volume":"24","author":"Kuroki","year":"2023","journal-title":"Am J Case Rep"},{"key":"2024062416083986300_ytae289-B10","doi-asserted-by":"crossref","first-page":"299","DOI":"10.3389\/fped.2018.00299","article-title":"Extracorporeal membrane oxygenation (ECMO) support in special patient populations\u2014the bidirectional Glenn and Fontan circulations","volume":"6","author":"Bacon","year":"2018","journal-title":"Front Pediatr"},{"key":"2024062416083986300_ytae289-B11","doi-asserted-by":"crossref","first-page":"1020984","DOI":"10.3389\/fped.2022.1020984","article-title":"Management of circulatory failure after Fontan surgery","volume":"10","author":"Kamsheh","year":"2022","journal-title":"Front Pediatr"},{"key":"2024062416083986300_ytae289-B12","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1097\/CCM.0000000000002065","article-title":"Relative bradycardia in patients with septic shock requiring vasopressor therapy","volume":"45","author":"Beesley","year":"2017","journal-title":"Crit Care Med"},{"key":"2024062416083986300_ytae289-B13","doi-asserted-by":"crossref","first-page":"1280","DOI":"10.1016\/S0735-1097(98)00377-5","article-title":"Association of chronotropic incompetence with echocardiographic ischemia and prognosis","volume":"32","author":"Lauer","year":"1998","journal-title":"J Am Coll Cardiol"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytae289\/58240322\/ytae289.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/8\/6\/ytae289\/58319038\/ytae289.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/8\/6\/ytae289\/58319038\/ytae289.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T16:34:10Z","timestamp":1719246850000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytae289\/7693838"}},"subtitle":[],"editor":[{"given":"Anastasia","family":"Egorova","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Ivan","family":"Wong","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Rizwan","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Shaheen","family":"Ahmad","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Franca","family":"Morselli","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,6,1]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytae289","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2024,6]]},"published":{"date-parts":[[2024,6,1]]},"article-number":"ytae289"}}