{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T19:46:27Z","timestamp":1792179987609,"version":"4.4.0"},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[1992,1]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND<\/jats:title>\n            <jats:p>We reviewed the outcome of 76 consecutive patients (age range, 5 months to 6 years; median age, 19 months) who underwent a modified Fontan procedure after initial palliative surgery for hypoplastic left heart syndrome (HLHS) between January 1984 and December 1989.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS AND RESULTS<\/jats:title>\n            <jats:p>Modifications of the Fontan procedure included transatrial baffle of pulmonary venous return to the tricuspid valve (n = 10) or inferior vena cava baffle within the right atrium to the superior vena caval-pulmonary artery anastomosis, with pulmonary artery augmentation (n = 66). Actuarial survival rates were 74% (1 month), 58% (12 months), 56% (2 years), and 52% (4 years). Of the 43 survivors, 25 patients have returned for postoperative cardiac catheterization at a medium of 13 months after the Fontan procedure. Mean +\/- SD hemodynamic values were cardiac index, 2.8 +\/- 0.6 l\/min\/m2; right arterial pressure, 11 +\/- 2 mm Hg; pulmonary artery wedge pressure, 6 +\/- 3 mm Hg; and arterial oxygen saturation, 94 +\/- 3%. No patient had significant tricuspid or native pulmonary valve insufficiency.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS<\/jats:title>\n            <jats:p>Survival after the Fontan procedure in patients with HLHS is comparable to survival after a Fontan procedure in patients with other complex congenital heart lesions. In the subgroup of patients with HLHS who survived both reconstructive surgery and a Fontan procedure and have been evaluated by cardiac catheterization after a Fontan procedure, the use of the right ventricle as the systemic ventricle yielded excellent intermediate results for Fontan physiology.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/01.cir.85.1.116","type":"journal-article","created":{"date-parts":[[2012,6,12]],"date-time":"2012-06-12T00:01:09Z","timestamp":1339459269000},"page":"116-122","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":50,"title":["Outcome and assessment after the modified Fontan procedure for hypoplastic left heart syndrome."],"prefix":"10.1161","volume":"85","author":[{"suffix":"Jr","given":"P E","family":"Farrell","sequence":"first","affiliation":[{"name":"Division of Cardiology, Children's Hospital of Philadelphia, PA 19104."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A C","family":"Chang","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Children's Hospital of Philadelphia, PA 19104."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K A","family":"Murdison","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Children's Hospital of Philadelphia, PA 19104."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J M","family":"Baffa","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Children's Hospital of Philadelphia, PA 19104."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W I","family":"Norwood","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Children's Hospital of Philadelphia, PA 19104."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J D","family":"Murphy","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Children's Hospital of Philadelphia, PA 19104."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","container-title":["Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/pdf\/10.1161\/01.CIR.85.1.116","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T16:06:18Z","timestamp":1715529978000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/01.CIR.85.1.116"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,1]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1992,1]]}},"alternative-id":["10.1161\/01.CIR.85.1.116"],"URL":"https:\/\/doi.org\/10.1161\/01.cir.85.1.116","relation":{},"ISSN":["0009-7322","1524-4539"],"issn-type":[{"value":"0009-7322","type":"print"},{"value":"1524-4539","type":"electronic"}],"subject":[],"published":{"date-parts":[[1992,1]]},"assertion":[{"value":"1992-01-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}