{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T22:14:02Z","timestamp":1793312042898,"version":"4.5.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2013,10,1]],"date-time":"2013-10-01T00:00:00Z","timestamp":1380585600000},"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":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\u201cThe term \u201cfunctionally univentricular heart\u201d describes a spectrum of congenital cardiovascular malformations in which the ventricular mass may not readily lend itself to partitioning that commits one ventricular pump to the systemic circulation and another to the pulmonary circulation.\u201d The purpose of this article is to review patterns of practice and outcomes in the Congenital Heart Surgery Databases (CHSDBs) of the European Association for Cardio-Thoracic Surgery (EACTS) and the Society of Thoracic Surgeons (STS) in patients with functionally univentricular hearts undergoing the Fontan operation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We examined all index operations performed on patients with functionally univentricular hearts in the EACTS and STS-CHSDBs over 4 years from 2007 to 2010, inclusive.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The most common diagnostic categories are hypoplastic left heart syndrome, tricuspid atresia, and double inlet left ventricle. The Fontan operation makes up 3.2% of all cardiac operations in the EACTS and STS-CHSDBs over 4 years from 2007 to 2010, inclusive. Of all the patients undergoing a Fontan procedure, 65.1% had an extracardiac Fontan, 21.5% had a lateral tunnel, and 5.8% had a Fontan revision or conversion (Re-do Fontan). In operations where fenestration status is known, 68.5% of the Fontan operations were fenestrated. During the four years of this analysis, only 5 patients had ventricular septation. Exclusive of Fontan revision or conversion (Re-do Fontan), all remaining Fontan operations had a discharge mortality of 2.3%. Fontan revision or conversion (Re-do Fontan) had a discharge mortality of 12.8%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The STS database is largest CHSDB in North America. The EACTS database is largest CHSDB in Europe. This review of data from EACTS and STS allows for unique documentation of practice patterns and outcomes. From this analysis, it is clear that patients with functionally univentricular hearts present a challenging problem; however, exclusive of Fontan revision or conversion (Re-do Fontan), the Fontan operation has a discharge mortality of 2.3%.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2150135113494228","type":"journal-article","created":{"date-parts":[[2013,10,10]],"date-time":"2013-10-10T15:44:37Z","timestamp":1381419877000},"page":"349-355","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":37,"title":["Functionally Univentricular Heart and the Fontan Operation"],"prefix":"10.1177","volume":"4","author":[{"given":"Jeffrey Phillip","family":"Jacobs","sequence":"first","affiliation":[{"name":"Johns Hopkins Children's Heart Surgery, All Children\u2019s Hospital and Florida Hospital for Children, Saint Petersburg, Tampa, and Orlando, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bohdan","family":"Maruszewski","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, The Children\u2019s Memorial Health Institute, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,10,10]]},"reference":[{"key":"bibr1-2150135113494228","volume-title":"Executive Summary: The Society of Thoracic Surgeons Congenital Heart Surgery Database\u2014Fourteenth Harvest (January 1, 2007\u2013December 31, 2010)","author":"Jacobs JP","year":"2011"},{"issue":"2","key":"bibr2-2150135113494228","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1017\/S1047951108002813","volume":"18","author":"Jacobs ML","year":"2008","journal-title":"Cardiol Young"},{"key":"bibr3-2150135113494228","doi-asserted-by":"publisher","DOI":"10.1053\/j.pcsu.2010.02.003"},{"issue":"1","key":"bibr4-2150135113494228","first-page":"16","author":"Jacobs JP","year":"2006","journal-title":"Cardiol Young"},{"key":"bibr5-2150135113494228","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)01245-X"},{"key":"bibr6-2150135113494228","doi-asserted-by":"publisher","DOI":"10.1177\/2150135110361504"},{"key":"bibr7-2150135113494228","doi-asserted-by":"publisher","DOI":"10.1177\/2150135110381392"},{"key":"bibr8-2150135113494228","doi-asserted-by":"publisher","DOI":"10.1177\/2150135110397670"},{"key":"bibr9-2150135113494228","volume-title":"Presented at: Inaugural Meeting of the World Society for Pediatric and Congenital Heart Surgery","author":"Jacobs JP"},{"key":"bibr10-2150135113494228","volume-title":"Presented at: Inaugural Meeting of the World Society for Pediatric and Congenital Heart Surgery","author":"Maruszewski B"},{"key":"bibr11-2150135113494228","volume-title":"Presented at: Second Scientific Meeting of the World Society for Pediatric and Congenital Heart Surgery at the Fifth World Congress of Pediatric Cardiology & Cardiac Surgery, Convention Centre","author":"Jacobs JP"},{"key":"bibr12-2150135113494228","volume-title":"Presented at: Second Scientific Meeting of the World Society for Pediatric and Congenital Heart Surgery at the Fifth World Congress of Pediatric Cardiology & Cardiac Surgery, Convention Centre","author":"Maruszewski B"},{"key":"bibr13-2150135113494228","volume-title":"Presented at: Multi-Societal Joint Meeting of the World Society for Pediatric and Congenital Heart Surgery (WSPCHS) dedicated to Aldo R","author":"Jacobs JP"},{"key":"bibr14-2150135113494228","volume-title":"Presented at: Multi-Societal Joint Meeting of The World Society for Pediatric and Congenital Heart Surgery (WSPCHS) dedicated to Aldo R","author":"Maruszewski B"},{"key":"bibr15-2150135113494228","volume-title":"Presented at: Regional Meeting of the World Society for Pediatric and Congenital Heart Surgery","author":"Jacobs JP"},{"key":"bibr16-2150135113494228","volume-title":"Presented at: Third Scientific Meeting of the World Society for Pediatric and Congenital Heart Surgery, June 23-26, 2011","author":"Jacobs JP"},{"key":"bibr17-2150135113494228","volume-title":"Presented at: Third Scientific Meeting of The World Society for Pediatric and Congenital Heart Surgery, June 23-26, 2011","author":"Maruszewski B"},{"issue":"2","key":"bibr18-2150135113494228","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1017\/S1047951108002795","volume":"18","author":"Franklin RC","year":"2008","journal-title":"Cardiol Young"},{"key":"bibr19-2150135113494228","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)01278-3"},{"key":"bibr20-2150135113494228","unstructured":"STS Congenital Heart Surgery Database Data Specifications Version 3.0  http:\/\/www.sts.org\/documents\/pdf\/CongenitalDataSpecificationsV3_0_20090904.pdf. Accessed December 26, 2009."},{"key":"bibr21-2150135113494228","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.06.079"},{"key":"bibr22-2150135113494228","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2008.04.075"},{"issue":"2","key":"bibr23-2150135113494228","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1017\/S1047951108003028","volume":"18","author":"Jacobs JP","year":"2008","journal-title":"Cardiol Young"},{"key":"bibr24-2150135113494228","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2009.03.023"},{"key":"bibr25-2150135113494228","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.05.042"},{"key":"bibr26-2150135113494228","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2010.08.010"},{"key":"bibr27-2150135113494228","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.02.029"}],"container-title":["World Journal for Pediatric and Congenital Heart Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2150135113494228","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2150135113494228","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2150135113494228","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T02:55:29Z","timestamp":1741056929000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2150135113494228"}},"subtitle":["Lessons Learned About Patterns of Practice and Outcomes From the Congenital Heart Surgery Databases of the European Association for Cardio-Thoracic Surgery and the Society of Thoracic Surgeons"],"short-title":[],"issued":{"date-parts":[[2013,10]]},"references-count":27,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013,10]]}},"alternative-id":["10.1177\/2150135113494228"],"URL":"https:\/\/doi.org\/10.1177\/2150135113494228","relation":{},"ISSN":["2150-1351","2150-136X"],"issn-type":[{"value":"2150-1351","type":"print"},{"value":"2150-136X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,10]]}}}