{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T22:09:20Z","timestamp":1764194960261,"version":"3.46.0"},"reference-count":40,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,2,28]],"date-time":"2022-02-28T00:00:00Z","timestamp":1646006400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Cardiac Surgery"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intraextracardiac Fontan procedure (FP) aimed to combine the advantages of lateral tunnel and extracardiac conduit modifications of the original technique. Herein, we present our early outcomes in patients with intraextracardiac fenestrated FP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was performed to evaluate intraextracardiac fenestrated Fontan patients between 2014 and 2021. Seventeen patients were operated on with a mean age and body weight of 9.1\u2009\u00b1\u20095.5 years and 28.6\u2009\u00b1\u200914.6\u2009kg.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixteen patients (94%) were palliated as univentricular physiology with hypoplasia of one of the ventricles. One patient (6%) with well\u2010developed two ventricles with double outlet right ventricle and complete atrioventricular septal defect had straddling of the chordae prohibiting a biventricular repair. All of the patients had cavopulmonary anastomosis before Fontan completion, except one case. Fenestration was performed in all cases. Postoperative mean pulmonary artery pressures and arterial oxygen saturation levels at follow\u2010up were 10\u2009\u00b1\u20092.4\u2009mmHg and 91.3\u2009\u00b1\u20092.7%, respectively. Mean duration of pleural drainage was 5.4\u2009\u00b1\u20092.3 days. All of the fenestrations are patent at a mean follow\u2010up period of 4.8\u2009\u00b1\u20097.7 years, except one case. Any morbidity and mortality were not encountered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early outcomes of intraextracardiac fenestrated FP are encouraging. This procedure may improve the results in a patient population who should be palliated as univentricular physiology, especially in cases with complex cardiac anatomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocs.16366","type":"journal-article","created":{"date-parts":[[2022,2,28]],"date-time":"2022-02-28T11:04:40Z","timestamp":1646046280000},"page":"1301-1308","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Early outcomes of fenestrated intra\u2010extracardiac Fontan procedure: Insights, experiences, and expectations"],"prefix":"10.1155","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9554-9498","authenticated-orcid":false,"given":"Baran","family":"\u015eim\u015fek","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery Medicana International Hospital Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7478-6235","authenticated-orcid":false,"given":"Arda","family":"\u00d6zy\u00fcksel","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Medicana International Hospital Istanbul Turkey"},{"name":"Department of Cardiovascular Surgery Biruni University Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u015eener","family":"Demiroluk","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Medicana International Hospital Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murat","family":"Sayg\u0131","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Medicana International Hospital Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet S.","family":"Bilal","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Medicana International Hospital Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.26.3.240"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.pcsu.2011.01.010"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8191.1988.tb00228.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)35174-8"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)35562-X"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(96)70303-3"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.82.5.1681"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/hc0202.102237"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)36379-2"},{"key":"e_1_2_6_11_1","first-page":"141","article-title":"Modified Fontan operation in the presence of anomalies of systemic and pulmonary venous connection","volume":"88","author":"Michielon G","year":"1993","journal-title":"Circulation"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12055-019-00906-y"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.pcsu.2015.11.006"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2015-307467"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.86.6.1762"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000016554"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.01.031"},{"issue":"19","key":"e_1_2_6_18_1","first-page":"2335","article-title":"Fontan extracardiac tunnel connection: fenestration or not?","volume":"122","author":"Fu S","year":"2009","journal-title":"Chin Med J (Engl)"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(00)01247-9"},{"issue":"6","key":"e_1_2_6_20_1","first-page":"527","article-title":"Impact of fenestration on early outcome in patients undergoing modified Fontan operation","volume":"43","author":"Fan F","year":"2015","journal-title":"Zhonghua Xin Xue Guan Bing Za Zhi"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-016-1561-x"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2019.12.020"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2018.07.080"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2018-314183"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-010-9808-4"},{"issue":"1","key":"e_1_2_6_26_1","article-title":"Non\u2010vitamin K antagonist oral anticoagulants in adults with a Fontan circulation: are they safe","volume":"6","author":"Yang H","year":"2019","journal-title":"Heart"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12055-019-00862-7"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(97)70402-1"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.03.080"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.04.109"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11748-020-01316-3"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2019.11.015"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2019.11.027"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2009.12.026"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2020.05.176"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.15293"},{"key":"e_1_2_6_37_1","first-page":"559","volume-title":"Pediatric Cardiology","author":"Choussat A","year":"1977"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2006.11.043"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)34293-X"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2010.11.033"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.16023"}],"container-title":["Journal of Cardiac Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocs.16366","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocs.16366","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocs.16366","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T16:32:15Z","timestamp":1764174735000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocs.16366"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,28]]},"references-count":40,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1111\/jocs.16366"],"URL":"https:\/\/doi.org\/10.1111\/jocs.16366","archive":["Portico"],"relation":{},"ISSN":["0886-0440"],"issn-type":[{"type":"print","value":"0886-0440"}],"subject":[],"published":{"date-parts":[[2022,2,28]]},"assertion":[{"value":"2021-11-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}