{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T16:26:06Z","timestamp":1778775966408,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,8,20]],"date-time":"2019-08-20T00:00:00Z","timestamp":1566259200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Semin Cardiothorac Vasc Anesth"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p>Background. The absolute number of patients presenting with failure of the hemi-Fontan or Fontan circulation for cardiac transplantation (cTx) will continuously rise. We aimed to analyze the intraoperative differences in patients undergoing cTx for a failing hemi-Fontan or Fontan circulation (group A) with those undergoing cTx for cardiomyopathy and congenital heart disease (group B). Methods. Data of patients undergoing cTx during a 10-year period were compared between group A and group B patients. Results. cTx was performed in 83 patients (group A, n = 21; group B, n = 62). Surgical times including median incision-suture time (549 minutes vs 386 minutes, P &lt; .05) and median organ ischemia time (305 minutes vs 233 minutes, P &lt; .05) were longer in group A patients. After weaning off cardiopulmonary bypass a higher median modified Vasoactive Inotropic Score (16 vs 10, P &lt; .05) was necessary in group A patients. During surgery more fresh frozen plasma (44 mL\/kg vs 20 mL\/kg, P &lt; .05), platelet concentrates (20 mL\/kg vs 14 mL\/kg, P &lt; .05), and coagulation factor concentrates were given in group A patients. Mortality during the first 90 days after cTx was higher in group A (23.8% vs 6.5%, P &lt; .05). Conclusion. Patients undergoing cTx for a failing hemi-Fontan or Fontan circulation are challenging. They require an intensive vasoactive and inotropic support; furthermore, special attention should be paid to the management of bleeding complications. cTx for this group of patients is associated with higher 90 days mortality.<\/jats:p>","DOI":"10.1177\/1089253219870635","type":"journal-article","created":{"date-parts":[[2019,8,21]],"date-time":"2019-08-21T02:03:56Z","timestamp":1566353036000},"page":"393-398","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Anesthesia for Pediatric Heart Transplantation: Are Patients With a Failing Hemi-Fontan- or Fontan-Physiology Different?"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6546-9860","authenticated-orcid":false,"given":"Matthias F.","family":"Mueller","sequence":"first","affiliation":[{"name":"Pediatric Heart Center Giessen, University Hospital Giessen and Marburg, Campus Giessen, Giessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann-Catrin","family":"Paul","sequence":"additional","affiliation":[{"name":"Pediatric Heart Center Giessen, University Hospital Giessen and Marburg, Campus Giessen, Giessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valesco","family":"Mann","sequence":"additional","affiliation":[{"name":"Pediatric Heart Center Giessen, University Hospital Giessen and Marburg, Campus Giessen, Giessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian M.","family":"Koerner","sequence":"additional","affiliation":[{"name":"Pediatric Heart Center Giessen, University Hospital Giessen and Marburg, Campus Giessen, Giessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus","family":"Valeske","sequence":"additional","affiliation":[{"name":"Pediatric Heart Center Giessen, University Hospital Giessen and Marburg, Campus Giessen, Giessen, 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