{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T00:05:09Z","timestamp":1770941109610,"version":"3.50.1"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T00:00:00Z","timestamp":1769299200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The patient was diagnosed with unguarded tricuspid orifice (UGTO), functional pulmonary atresia, and left pulmonary artery hypoplasia. In view of the severe right ventricular dysfunction, the staged single ventricular palliation procedure was selected. The surgical procedure on Starnes operation and left pulmonary artery augmentation was performed one month after birth. As left pulmonary artery stenosis was diagnosed, secondly, the bidirectional cavopulmonary shunt with additional systemic to pulmonary shunt and intrapulmonary patch septation and left pulmonary artery augmentation with in-situ pericardium were performed. Despite the necessity for additional balloon dilation and surgical blunt dilation, the total cavopulmonary connection operation was ultimately performed, resulting in the successful implementation of staged single-ventricle palliation in conjunction with left pulmonary artery rehabilitation.<\/jats:p>","DOI":"10.1093\/icvts\/ivag027","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T12:41:35Z","timestamp":1768999295000},"source":"Crossref","is-referenced-by-count":0,"title":["Staged Single Ventricle Palliation with Pulmonary Artery Rehabilitation for Unguarded Tricuspid Orifice and Hypoplastic Left Pulmonary Artery"],"prefix":"10.1093","volume":"41","author":[{"given":"Hiroshi","family":"Manome","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiovascular Surgery, International Medical Center, Saitama Medical University , Saitama 350-1298,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0320-3682","authenticated-orcid":false,"given":"Takaya","family":"Hoashi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiovascular Surgery, International Medical Center, Saitama Medical University , Saitama 350-1298,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichi","family":"Toda","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, International Medical Center, Saitama Medical University , Saitama 350-1298,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takaaki","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiovascular Surgery, International Medical Center, Saitama Medical University , Saitama 350-1298,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,1,25]]},"reference":[{"key":"2026021218122277500_ivag027-B1","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1007\/BF02239568","article-title":"Congenitally unguarded tricuspid orifice: its differentiation from Ebstein\u2019s malformation in association with pulmonary atresia and intact ventricular septum","volume":"11","author":"Anderson","year":"1990","journal-title":"Pediatr Cardiol"},{"key":"2026021218122277500_ivag027-B2","doi-asserted-by":"crossref","first-page":"e133","DOI":"10.1161\/CIRCULATIONAHA.107.760561","article-title":"Images in cardiovascular medicine. Markedly dilated right heart 17 years after initial treatment repaired by total right ventricular exclusion and total cavopulmonary connection","volume":"118","author":"Kariya","year":"2008","journal-title":"Circulation"},{"key":"2026021218122277500_ivag027-B3","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1016\/j.ejcts.2008.07.054","article-title":"Staged Fontan\u2019s operation for unguarded tricuspid orifice with pulmonary atresia","volume":"34","author":"Hirota","year":"2008","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026021218122277500_ivag027-B4","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1510\/icvts.2005.124925","article-title":"Novel surgical approach \u2018intrapulmonary-artery septation\u2019 for Fontan candidates with unilateral pulmonary arterial hypoplasia or pulmonary venous obstruction","volume":"6","author":"Sakamoto","year":"2007","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2026021218122277500_ivag027-B5","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1177\/2150135115606623","article-title":"Repair of the left pulmonary artery after bilateral banding in hybrid procedures: results using \u201csutureless\u201d repair technique","volume":"7","author":"Juaneda","year":"2016","journal-title":"World J Pediatr Congenit Heart Surg"}],"container-title":["Interdisciplinary CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivag027\/66569550\/ivag027.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/41\/2\/ivag027\/66569550\/ivag027.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/41\/2\/ivag027\/66569550\/ivag027.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T23:12:28Z","timestamp":1770937948000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivag027\/8440766"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,25]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2,5]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivag027","relation":{},"ISSN":["2753-670X"],"issn-type":[{"value":"2753-670X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,2]]},"published":{"date-parts":[[2026,1,25]]},"article-number":"ivag027"}}