{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T07:58:01Z","timestamp":1791014281072,"version":"4.1.0"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[1998,9,15]]},"abstract":"<jats:p>\n            <jats:italic>Background<\/jats:italic>\n            \u2014The objectives of our study were to determine the frequency of supraventricular tachyarrhythmias (SVTAs) among modifications of the Fontan operation and identify risk factors for developing SVTA.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Methods and Results<\/jats:italic>\n            \u2014The population consisted of all patients who had any modification of the Fontan operation at the Mayo Clinic between 1985 and 1993. Clinically significant SVTAs were those requiring initiation or change of antiarrhythmic treatment, and they were divided into early SVTAs (&lt;30 days after the operation) and late SVTAs (\u226530 days after the operation). Clinical histories were reviewed, and health status questionnaires were sent. Four hundred ninety-nine patients had various modifications of the Fontan operation. Frequency of early SVTA was 15%. Risk factors identified by multivariate analysis for early SVTA were AV valve regurgitation, abnormal AV valve, and preoperative SVTA. Frequency of late SVTA was 6% by 1 year, 12% by 3 years, and 17% by 5 years. Risk factors for late SVTA were age at operation (&lt;3 or \u226510 years) and systemic AV valve replacement. By univariate and multivariate analysis, the type of Fontan operation was not a significant risk factor for late SVTA when all 6 modifications were considered. However, when we analyzed the frequency of late SVTA for the 2 recently used modifications, we found a lower frequency of late SVTA in patients with atriopulmonary connection with lateral tunnel compared with those with total cavopulmonary connection.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Conclusions<\/jats:italic>\n            \u2014Postoperative SVTA continues to be a significant problem. Risk factors for SVTA are AV valve regurgitation, abnormal AV valve, preoperative SVTA, and age at operation. Frequency of SVTA does not appear to be related to type of Fontan procedure except for slightly lower frequency in patients with atriopulmonary connection with lateral tunnel compared with those with total cavopulmonary connection.\n          <\/jats:p>","DOI":"10.1161\/01.cir.98.11.1099","type":"journal-article","created":{"date-parts":[[2012,6,12]],"date-time":"2012-06-12T00:41:02Z","timestamp":1339461662000},"page":"1099-1107","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":141,"title":["Predictors of Early- and Late-Onset Supraventricular Tachyarrhythmias After Fontan Operation"],"prefix":"10.1161","volume":"98","author":[{"given":"Kritvikrom","family":"Durongpisitkul","sequence":"first","affiliation":[{"name":"From the Section of Pediatric Cardiology (K.D., C.J.P., F.C., D.J.D.), Section of Biostatistics (K.P.O., J.M.S.), and the Division of Thoracic and Cardiovascular Surgery (F.J.P., H.V.S., G.K.D.), Mayo Clinic and Mayo Foundation, Rochester, Minn. Dr Cetta is currently at the Section of Pediatric Cardiology, Loyola Medical Center, Maywood, Ill."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Co-burn J.","family":"Porter","sequence":"additional","affiliation":[{"name":"From the Section of Pediatric Cardiology (K.D., C.J.P., F.C., D.J.D.), Section of Biostatistics (K.P.O., J.M.S.), and the Division of Thoracic and Cardiovascular Surgery (F.J.P., H.V.S., G.K.D.), Mayo Clinic and Mayo Foundation, Rochester, Minn. Dr Cetta is currently at the Section of Pediatric Cardiology, Loyola Medical Center, Maywood, Ill."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Cetta","sequence":"additional","affiliation":[{"name":"From the Section of Pediatric Cardiology (K.D., C.J.P., F.C., D.J.D.), Section of Biostatistics (K.P.O., J.M.S.), and the Division of Thoracic and Cardiovascular Surgery (F.J.P., H.V.S., G.K.D.), Mayo Clinic and Mayo Foundation, Rochester, Minn. Dr Cetta is currently at the Section of Pediatric Cardiology, Loyola Medical Center, Maywood, Ill."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth P.","family":"Offord","sequence":"additional","affiliation":[{"name":"From the Section of Pediatric Cardiology (K.D., C.J.P., F.C., D.J.D.), Section of Biostatistics (K.P.O., J.M.S.), and the Division of Thoracic and Cardiovascular Surgery (F.J.P., H.V.S., G.K.D.), Mayo Clinic and Mayo Foundation, Rochester, Minn. Dr Cetta is currently at the Section of Pediatric Cardiology, Loyola Medical Center, Maywood, Ill."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey M.","family":"Slezak","sequence":"additional","affiliation":[{"name":"From the Section of Pediatric Cardiology (K.D., C.J.P., F.C., D.J.D.), Section of Biostatistics (K.P.O., J.M.S.), and the Division of Thoracic and Cardiovascular Surgery (F.J.P., H.V.S., G.K.D.), Mayo Clinic and Mayo Foundation, Rochester, Minn. Dr Cetta is currently at the Section of Pediatric Cardiology, Loyola Medical Center, Maywood, Ill."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco J.","family":"Puga","sequence":"additional","affiliation":[{"name":"From the Section of Pediatric Cardiology (K.D., C.J.P., F.C., D.J.D.), Section of Biostatistics (K.P.O., J.M.S.), and the Division of Thoracic and Cardiovascular Surgery (F.J.P., H.V.S., G.K.D.), Mayo Clinic and Mayo Foundation, Rochester, Minn. Dr Cetta is currently at the Section of Pediatric Cardiology, Loyola Medical Center, Maywood, Ill."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hartzell V.","family":"Schaff","sequence":"additional","affiliation":[{"name":"From the Section of Pediatric Cardiology (K.D., C.J.P., F.C., D.J.D.), Section of Biostatistics (K.P.O., J.M.S.), and the Division of Thoracic and Cardiovascular Surgery (F.J.P., H.V.S., G.K.D.), Mayo Clinic and Mayo Foundation, Rochester, Minn. Dr Cetta is currently at the Section of Pediatric Cardiology, Loyola Medical Center, Maywood, Ill."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gordon K.","family":"Danielson","sequence":"additional","affiliation":[{"name":"From the Section of Pediatric Cardiology (K.D., C.J.P., F.C., D.J.D.), Section of Biostatistics (K.P.O., J.M.S.), and the Division of Thoracic and Cardiovascular Surgery (F.J.P., H.V.S., G.K.D.), Mayo Clinic and Mayo Foundation, Rochester, Minn. Dr Cetta is currently at the Section of Pediatric Cardiology, Loyola Medical Center, Maywood, Ill."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Driscoll","sequence":"additional","affiliation":[{"name":"From the Section of Pediatric Cardiology (K.D., C.J.P., F.C., D.J.D.), Section of Biostatistics (K.P.O., J.M.S.), and the Division of Thoracic and Cardiovascular Surgery (F.J.P., H.V.S., G.K.D.), Mayo Clinic and Mayo Foundation, Rochester, Minn. Dr Cetta is currently at the Section of Pediatric Cardiology, Loyola Medical Center, Maywood, Ill."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_1_2","first-page":"39","volume":"10","year":"1971","unstructured":"Fontan F, Mounicot FB, Baudet E, Simonneau J, Gordo J, Gouffrant JM. \u201cCorrection\u201d de l\u2019atresie tricuspidienne: rapport de deux cas \u201ccorriges\u201d par l\u2019utilisation d\u2019une technique chirurgicale nouvelle. Ann Chir Thorac Cardiovasc. 1971;10:39\u201347.","journal-title":"Ann Chir Thorac Cardiovasc"},{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)40598-9"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)38027-4"},{"key":"e_1_3_2_4_2","unstructured":"Danielson GK. Surgical management of double inlet ventricle. In: Anderson RH Crupi G Parenzen L eds. Double Inlet Ventricle. Tunbridge Wells Kent England: Castle House Publications Ltd; 1987:174\u2013182."},{"key":"e_1_3_2_5_2","doi-asserted-by":"crossref","unstructured":"King RM Puga PJ Danielson GK Julsrud PR. Extended indications for the modified Fontan procedure in patients with anomalous systemic and pulmonary venous return. In: Doyle EF Engle MA Gersony WM Rashkind WJ Talner NS eds. Pediatric Cardiology: Proceedings of the Second World Congress. New York NY: Springer-Verlag; 1986:523\u2013526.","DOI":"10.1007\/978-1-4613-8598-1_141"},{"key":"e_1_3_2_6_2","unstructured":"Puga FJ Chiavarelli M Hagler DJ. Modifications of the Fontan operation applicable to patients with left atrioventricular valve atresia or single atrioventricular valve. Circulation. 1987;76(suppl III):III-53\u2013III-60."},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)35563-1"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)35174-8"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/circ.85.2.1735145"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(96)00135-0"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/circ.75.3.2949889"},{"key":"e_1_3_2_12_2","first-page":"318","volume":"18","year":"1993","unstructured":"Porter CJ, Garson A. Incidence and management of dysrhythmias after Fontan procedure. Herz. 1993;18:318\u2013327.","journal-title":"Herz"},{"key":"e_1_3_2_13_2","unstructured":"Balaji S Gewillig M Bull C de Leval MR Deanfield JE. Arrhythmias after the Fontan procedure: comparison of total cavopulmonary connection and atriopulmonary connection. Circulation. 1991;84(suppl III):III-162\u2013III-167."},{"key":"e_1_3_2_14_2","first-page":"189","volume":"52","year":"1991","unstructured":"Pearl JM, Laks H, Stein DG, Drinkwater DG, George BL, Williams RG. Total cavopulmonary anastomosis versus conventional modified Fontan procedure. Ann Thorac Cardiovasc Surg. 1991;52:189\u2013196.","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(99)80106-4"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(94)90181-3"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.67.1.72"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(96)70303-3"},{"key":"e_1_3_2_19_2","unstructured":"Ludomirsky A Garson A Jr. Supraventricular tachycardia. In: Gillette PC Garson A Jr eds. Pediatric Arrhythmias: Electrophysiology and Pacing. Philadelphia Pa: WB Saunders Co; 1990:380\u2013426."},{"key":"e_1_3_2_20_2","unstructured":"Kugler JD. Sinus node dysfunction. In: Gillette PC Garson A Jr eds. Pediatric Arrhythmias: Electrophysiology and Pacing. Philadelphia Pa: WB Saunders Co; 1990:250\u2013300."},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)35261-4"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(10)80073-7"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(91)90511-7"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(94)90613-0"},{"key":"e_1_3_2_25_2","first-page":"174","volume":"17","year":"1991","unstructured":"Kurer CC, Tanner CS, Vetter VL. Electrophysiologic findings after Fontan repair of functional single ventricle. J Am Coll Cardiol. 1991;17:174\u2013181.","journal-title":"J Am Coll Cardiol"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1161\/circ.93.3.502"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1161\/res.49.6.6458421"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(85)80280-1"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(85)80224-2"}],"container-title":["Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/01.CIR.98.11.1099","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T16:19:51Z","timestamp":1715530791000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/01.CIR.98.11.1099"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,9,15]]},"references-count":29,"journal-issue":{"issue":"11","published-print":{"date-parts":[[1998,9,15]]}},"alternative-id":["10.1161\/01.CIR.98.11.1099"],"URL":"https:\/\/doi.org\/10.1161\/01.cir.98.11.1099","relation":{},"ISSN":["0009-7322","1524-4539"],"issn-type":[{"value":"0009-7322","type":"print"},{"value":"1524-4539","type":"electronic"}],"subject":[],"published":{"date-parts":[[1998,9,15]]},"assertion":[{"value":"1998-02-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1998-05-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"1998-09-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}