{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,23]],"date-time":"2025-02-23T22:40:26Z","timestamp":1740350426500,"version":"3.37.3"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T00:00:00Z","timestamp":1731456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The purpose of this study was to address the gap in knowledge in the incidence, presentation and imaging features of PPGL in Fontan patients. It has been hypothesised in the literature that Fontan circulation patients have an increased incidence of these tumours. This study is the largest cohort of adult Fontan patients in North America. The Fontan procedure is a palliative procedure for single ventricle congenital heart disease where the systemic venous return is directed into the pulmonary circulation. Fontan patients are at increased risk of developing several extracardiac complications including phaeochromocytoma and paraganglioma (PPGL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective single\u2010centre study includes all adult patients who were treated between 1 September 2015 and 1 September 2022 in a tertiary referral centre for adult congenital heart disease. Imaging and electronic medical records were retrospectively searched for the presence of PPGL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five hundred and forty\u2010seven Fontan patients were included in the study. Three patients had PPGL with an incidence of 0.5%. Two patients were diagnosed with paraganglioma and one with phaeochromocytoma. All patients were female. Median age of Fontan procedure was 1.8\u2009years (range: 1.75\u201327\u2009years). Median age of PPGL diagnosis was 19\u2009years (range: 12\u201339\u2009years). Median time from Fontan operation to diagnosis of PPGL was 12\u2009years (range: 10.3\u201317.2\u2009years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Fontan patients are at increased risk of PPGL. Clinically, the diagnosis of PPGL is challenging as symptoms and serum markers can be confounding in this population; however, the imaging features of PPGL remain typical making the role of the radiologist crucial.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1754-9485.13809","type":"journal-article","created":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T11:16:28Z","timestamp":1731496588000},"page":"21-27","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Paraganglioma and phaeochromocytoma in adult Fontan patients"],"prefix":"10.1111","volume":"69","author":[{"given":"Stephanie BM","family":"Tan","sequence":"first","affiliation":[{"name":"Department of Medical Imaging University Health Network, JDMI  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Luz","family":"Garagiola","sequence":"additional","affiliation":[{"name":"Department of Cardiology ACHD, University Health Network  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyang","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging University Health Network, JDMI  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tae Kyoung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging University Health Network, JDMI  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ciara MO","family":"Brien","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging University Health Network, JDMI  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-018-0609-2"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2014-3863"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/2091257"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.4103\/apc.APC_172_17"},{"key":"e_1_2_8_6_1","unstructured":"ElseT GreenbergS FishbeinL.Hereditary Paraganglioma\u2010Pheochromocytoma Syndromes Summary Genetic counseling. 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