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Follow\u2010up information was obtained from medical records and a clinical questionnaire that was mailed to patients not known to be deceased at the initiation of the study. Forty\u2010four of 1138 Fontan patients with initial or subsequent evaluation at Mayo had cardiac transplantation between 1988 and 2014 (mean age at transplantation was 23.2 \u00b1 12 yr, median was 19.8 yr; mean interval between Fontan and transplantation was 13.0 \u00b1 7.7 yr, median was 13.1 yr). Two patients had combined organ transplantation (one heart\u2013lung, one heart\u2013liver). Twelve of the 44 (27%) patients had <jats:styled-content style=\"fixed-case\">PLE<\/jats:styled-content> prior to transplantation. There was no difference in post\u2010bypass Fontan pressures or incidence of late reoperations for <jats:styled-content style=\"fixed-case\">AVV<\/jats:styled-content> repair\/replacement between transplanted and non\u2010transplanted patients. There were 16 (36%) deaths in the transplantation cohort; seven occurred within 30 days of transplantation. Overall one, five, 10, and 15 yr post\u2010transplantation survival was 80%, 72%, 69%, and 55%, respectively. Although this is a challenging group of patients, intermediate\u2010term results suggest that cardiac transplantation remains a reasonable option for patients with a failed Fontan circulation.<\/jats:p>","DOI":"10.1111\/petr.12753","type":"journal-article","created":{"date-parts":[[2016,7,11]],"date-time":"2016-07-11T04:12:59Z","timestamp":1468210379000},"page":"1087-1092","source":"Crossref","is-referenced-by-count":26,"title":["Heart transplantation after Fontan: Results from a surgical Fontan cohort"],"prefix":"10.1111","volume":"20","author":[{"given":"Kavitha N.","family":"Pundi","sequence":"first","affiliation":[{"name":"Division of Pediatric Cardiology Mayo Clinic Rochester MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krishna","family":"Pundi","sequence":"additional","affiliation":[{"name":"Mayo Clinic College of Medicine Mayo Clinic Rochester MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David J.","family":"Driscoll","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Mayo Clinic Rochester MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph A.","family":"Dearani","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery Mayo Clinic Rochester MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhuo","family":"Li","sequence":"additional","affiliation":[{"name":"Division of Biomedical Statistics and Informatics Mayo Clinic Rochester MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonja H.","family":"Dahl","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Mayo Clinic Rochester MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bassem N.","family":"Mora","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery Mayo Clinic Rochester MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick W.","family":"O'Leary","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Mayo Clinic Rochester MN USA"},{"name":"Division of Cardiovascular Diseases Mayo Clinic Rochester MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard C.","family":"Daly","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery Mayo Clinic Rochester MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Cetta","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Mayo Clinic Rochester MN USA"},{"name":"Division of Cardiovascular Diseases Mayo Clinic Rochester MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan N.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Mayo Clinic Rochester MN USA"},{"name":"Division of Cardiovascular Diseases Mayo Clinic Rochester MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,7,10]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"39","article-title":"\u201cCorrection\u201d of tricuspid atresia. 2 cases \u201ccorrected\u201d using a new surgical technic","volume":"10","author":"Fontan F","year":"1971","journal-title":"Ann Chir Thorac Cardiovasc"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)40598-9"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2011-301133"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hfc.2013.09.010"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2005.06.035"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.105.548016"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(98)00130-4"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(03)00342-7"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951113001662"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2011.12.039"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezu280"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.100.suppl_2.II-200"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.11.031"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2014.08.002"},{"key":"e_1_2_11_16_1","first-page":"II69","article-title":"Outcome of cardiac transplantation in children. 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