{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T17:37:38Z","timestamp":1764092258740,"version":"3.45.0"},"reference-count":0,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Completing the Fontan circulation in patients with heterotaxy syndrome and complex cardiac anatomy presents unique surgical challenges. We report a case in which a modification of an intra-atrial lateral tunnel (LT) technique was utilized during the Fontan procedure. The patient, who had previously undergone staged single-ventricle palliation at our institution, was admitted with worsening cyanosis for Fontan completion. Intraoperatively, the intra-atrial tunnel was positioned posteriorly to redirect the hepatic venous return to the left atrial appendage with a posterior tract running on the left of the pulmonary veins. This case provides a variation of the lateral tunnel technique.<\/jats:p>","DOI":"10.1093\/ejcts\/ezaf408","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T12:54:37Z","timestamp":1764075277000},"source":"Crossref","is-referenced-by-count":0,"title":["The posterior tunnel Fontan: A different approach to lateral tunnel Fontan"],"prefix":"10.1093","author":[{"given":"Muhammed Ikbal","family":"Aydin","sequence":"first","affiliation":[{"name":"Children\u2019s National Hospital Department of Cardiovascular Surgery, , Washington, D.C,","place":["United States of America"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"O\u2019Hara","sequence":"additional","affiliation":[{"name":"Children\u2019s National Hospital Heart Institute, , Washington, D.C,","place":["United States of America"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arvind","family":"Bishnoi","sequence":"additional","affiliation":[{"name":"Lucile Packard Children\u2019s Hospital Stanford Betty Irene Moore Children\u2019s Heart Center, , Palo Alto, CA,","place":["United States of America"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yves","family":"d\u2019Udekem","sequence":"additional","affiliation":[{"name":"Children\u2019s National Hospital Department of Cardiovascular Surgery, , Washington, D.C,","place":["United States of America"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,11,25]]},"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejcts\/advance-article-pdf\/doi\/10.1093\/ejcts\/ezaf408\/65500510\/ezaf408.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/advance-article-pdf\/doi\/10.1093\/ejcts\/ezaf408\/65500510\/ezaf408.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T17:32:53Z","timestamp":1764091973000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/advance-article\/doi\/10.1093\/ejcts\/ezaf408\/8342441"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,25]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezaf408","relation":{},"ISSN":["1873-734X"],"issn-type":[{"value":"1873-734X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,25]]},"article-number":"ezaf408"}}