{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T05:23:44Z","timestamp":1731043424625,"version":"3.28.0"},"reference-count":5,"publisher":"Texas Heart Institute Journal","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,8]]},"abstract":"Hepatic dysfunction after the Fontan surgical palliation runs an indolent course. Moreover, there is no standard method of evaluating hepatic dysfunction. Magnetic resonance elastography has emerged as an advanced screening tool for preclinical detection of hepatic fibrosis and cirrhosis. We describe the case of a patient who had undergone Fontan palliation, and then developed liver nodules and elevated tumor markers 18 years later. Her case illustrates the challenges in diagnostic management of hepatic dysfunction and the potential role of magnetic resonance elastography in monitoring these patients.<\/jats:p>","DOI":"10.14503\/thij-14-4351","type":"journal-article","created":{"date-parts":[[2015,8,3]],"date-time":"2015-08-03T13:22:06Z","timestamp":1438608126000},"page":"389-392","source":"Crossref","is-referenced-by-count":4,"title":["Liver Nodules after the Fontan Operation: Role of Magnetic Resonance Elastography"],"prefix":"10.14503","volume":"42","author":[{"given":"Joseph T.","family":"Poterucha","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sudhakar K.","family":"Venkatesh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer L.","family":"Novak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Cetta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"1","key":"i0730-2347-42-4-389-b1","series-title":"J Pediatr","first-page":"201","article-title":"Magnetic resonance imaging identifies unsuspected liver abnormalities in patients after the Fontan procedure","volume":"163","year":"2013","unstructured":"Bulut\n OP, \n \n Romero\n R, \n \n Mahle\n WT, \n \n McConnell\n M, \n \n Braithwaite\n K, \n \n Shehata\n BM, \n \n et al. Magnetic resonance imaging identifies unsuspected liver abnormalities in patients after the Fontan procedure. J Pediatr2013;163(1):201\u20136."},{"issue":"18","key":"i0730-2347-42-4-389-b2","series-title":"N Engl J Med","first-page":"1756","article-title":"Hepatocellular carcinoma after the Fontan procedure","volume":"368","year":"2013","unstructured":"Asrani\n SK, \n \n Warnes\n CA, \n \n Kamath\n PS.\n \n \n Hepatocellular carcinoma after the Fontan procedure. N Engl J Med2013;368(18): 1756\u20137."},{"issue":"3","key":"i0730-2347-42-4-389-b3","series-title":"J Magn Reson Imaging","first-page":"544","article-title":"Magnetic resonance elastography of liver: technique, analysis, and clinical applications","volume":"37","year":"2013","unstructured":"Venkatesh\n SK, \n \n Yin\n M, \n \n Ehman\n RL.\n \n \n Magnetic resonance elastography of liver: technique, analysis, and clinical applications. J Magn Reson Imaging2013;37(3):544\u201355."},{"issue":"7","key":"i0730-2347-42-4-389-b4","series-title":"Pediatr Cardiol","first-page":"1001","article-title":"The precarious state of the liver after a Fontan operation: summary of a multidisciplinary symposium","volume":"33","year":"2012","unstructured":"Rychik\n J, \n \n Veldtman\n G, \n \n Rand\n E, \n \n Russo\n P, \n \n Rome\n JJ, \n \n Krok\n K, \n \n et al. The precarious state of the liver after a Fontan operation: summary of a multidisciplinary symposium. Pediatr Cardiol2012;33(7):1001\u201312."},{"issue":"1","key":"i0730-2347-42-4-389-b5","series-title":"Congenit Heart Dis","first-page":"7","article-title":"Magnetic resonance elastography of the liver in patients status-post Fontan procedure: feasibility and preliminary results","volume":"9","year":"2014","unstructured":"Serai\n SD, \n \n Wallihan\n DB, \n \n Venkatesh\n SK, \n \n Ehman\n RL, \n \n Campbell\n KM, \n \n Sticka\n J, \n \n et al. Magnetic resonance elastography of the liver in patients status-post Fontan procedure: feasibility and preliminary results. 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