{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T09:12:43Z","timestamp":1776417163748,"version":"3.51.2"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Thromboembolic complications remain a significant cause of morbidity following the Fontan procedure, driven by the unique haemodynamics of the Fontan circulation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>We present a case of a 14-year-old patient with single-ventricle physiology who underwent an extracardiac Fontan procedure. Post-operatively, he developed low cardiac output requiring extracorporeal membrane oxygenation (ECMO) support. Despite successful weaning from ECMO, hepatomegaly, pleural effusion, and ascites persisted. Further investigation revealed a significant thrombus within the Fontan conduit. Due to the high risks associated with systemic thrombolysis and repeat cardiac surgery, these treatment options were not pursued. Instead, an innovative approach utilizing a device specifically engineered for thrombus extraction in the pulmonary arteries was used. The conduit thrombus was completely extracted without complications, and the patient recovered rapidly and was discharged 2 weeks later.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case highlights the potential complications following Fontan surgery and the importance of timely, tailored new therapeutic interventional procedures in fragile patients with complex congenital heart diseases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag205","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T12:30:01Z","timestamp":1773837001000},"source":"Crossref","is-referenced-by-count":0,"title":["Case report of percutaneous intervention for extensive thrombosis after the Fontan procedure in a 14-year-old"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6768-4759","authenticated-orcid":false,"given":"David","family":"Ferri-Rufete","sequence":"first","affiliation":[{"name":"Paediatric Cardiology Department, Hospital Sant Joan de D\u00e9u , Passeig Sant Joan de D\u00e9u 2, 08950 Esplugues de Llobregat, Barcelona ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9130-2335","authenticated-orcid":false,"given":"Juan Carretero","family":"Bell\u00f3n","sequence":"additional","affiliation":[{"name":"Paediatric Cardiology Department, Hospital Sant Joan de D\u00e9u , Passeig Sant Joan de D\u00e9u 2, 08950 Esplugues de Llobregat, Barcelona ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fredy Herm\u00f3genes","family":"Prada Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Paediatric Cardiology Department, Hospital Sant Joan de D\u00e9u , Passeig Sant Joan de D\u00e9u 2, 08950 Esplugues de Llobregat, Barcelona ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5433-655X","authenticated-orcid":false,"given":"Federico Xavier","family":"Zarco Contreras","sequence":"additional","affiliation":[{"name":"Radiology Department, Hospital Sant Joan de D\u00e9u , Passeig Sant Joan de D\u00e9u, 08950 Esplugues de Llobregat, Barcelona ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9108-4750","authenticated-orcid":false,"given":"Joan","family":"Sanchez-de-Toledo","sequence":"additional","affiliation":[{"name":"Paediatric Cardiology Department, Hospital Sant Joan de D\u00e9u , Passeig Sant Joan de D\u00e9u 2, 08950 Esplugues de Llobregat, Barcelona 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