{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:18:54Z","timestamp":1787750334385,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Early rehabilitation after Fontan surgery in children is poorly described, especially in complicated postoperative courses. We report the clinical evolution and rehabilitation of an 8-year-old girl with double-inlet left ventricle and patent ductus arteriosus who underwent fenestrated Fontan completion. The postoperative period was complicated by bilateral pleural effusions, pulmonary hypertension, hematemesis, psychomotor alteration, and mechanical ventilation with inhaled nitric oxide. A structured bedside rehabilitation program was started early and adjusted according to clinical stability. The program included respiratory exercises, inspiratory muscle training, resistance exercises, cycle ergometry, and gait training. We observed progressive improvement in mobility, respiratory autonomy, and functional capacity. She was discharged from the pediatric cardiac intensive care unit on postoperative day 23, having demonstrated functional recovery. This was evidenced by a reduction in the Functional Status Scale score from 14 to 9. Early individualized rehabilitation after Fontan surgery was feasible and associated with meaningful functional improvement.<\/jats:p>","DOI":"10.4103\/apc.apc_81_26","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T13:02:01Z","timestamp":1782133321000},"page":"320-323","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Early cardiac rehabilitation in pediatric fenestrated Fontan completion: A case report despite postoperative complication"],"prefix":"10.4103","volume":"19","author":[{"given":"Roberta da Silva","family":"Teixeira","sequence":"first","affiliation":[{"name":"Technical Support Division, Instituto Nacional de Cardiologia, Laranjeiras, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciana S. M.","family":"Luz","sequence":"additional","affiliation":[{"name":"Physiotherapy Service, Prontobaby Hospital da Crian\u00e7a, Tijuca, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helica L. G. M.","family":"Lopes","sequence":"additional","affiliation":[{"name":"Physiotherapy Service, Prontobaby Hospital da Crian\u00e7a, Tijuca, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karyne K.","family":"Bernandes","sequence":"additional","affiliation":[{"name":"Physiotherapy Service, Prontobaby Hospital da Crian\u00e7a, Tijuca, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fellipe A. M.","family":"Silva","sequence":"additional","affiliation":[{"name":"Technical Support Division, Instituto Nacional de Cardiologia, Laranjeiras, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"R1-20260626","doi-asserted-by":"crossref","first-page":"80522","DOI":"10.34117\/bjdv8n12-246","article-title":"Single ventricle or double left ventricle outlet: An uncommon congenital heart disease","volume":"8","author":"Oliveira","year":"2022","journal-title":"Braz J Dev"},{"key":"R2-20260626","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1056\/NEJM200001273420407","article-title":"Congenital heart disease in adults. First of two parts","volume":"342","author":"Brickner","year":"2000","journal-title":"N Engl J Med"},{"key":"R3-20260626","first-page":"1274","article-title":"Double-inlet left ventricle","volume":"9","author":"Rao","year":"2022","journal-title":"Children (Basel)"},{"key":"R4-20260626","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1016\/j.ahj.2009.02.014","article-title":"Physical activity restrictions for children after the Fontan operation: Disagreement between parent, cardiologist, and medical record reports","volume":"157","author":"Longmuir","year":"2009","journal-title":"Am Heart J"},{"key":"R5-20260626","doi-asserted-by":"crossref","first-page":"1299","DOI":"10.1017\/S1047951118001166","article-title":"Home- and hospital-based exercise training programme after Fontan surgery","volume":"28","author":"Sutherland","year":"2018","journal-title":"Cardiol Young"},{"key":"R6-20260626","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.1136\/heartjnl-2015-307467","article-title":"The Fontan circulation after 45 years: Update in physiology","volume":"102","author":"Gewillig","year":"2016","journal-title":"Heart"},{"key":"R7-20260626","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1097\/HCR.0000000000000560","article-title":"Cardiopulmonary rehabilitation in pediatric patients with congenital and acquired heart disease","volume":"40","author":"McBride","year":"2020","journal-title":"J Cardiopulm Rehabil Prev"},{"key":"R8-20260626","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.ijcard.2021.01.058","article-title":"Aerobic exercise and inspiratory muscle training increase functional capacity in patients with univentricular physiology after Fontan operation: A randomized controlled trial","volume":"330","author":"Turquetto","year":"2021","journal-title":"Int J Cardiol"},{"key":"R9-20260626","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1080\/09593985.2018.1457747","article-title":"The validity and reliability of the ADL-Glittre test for children","volume":"35","author":"Martins","year":"2019","journal-title":"Physiother Theory Pract"},{"key":"R10-20260626","first-page":"e60215","article-title":"The effect of physiotherapy intervention on an infant with congenital heart defect associated with developmental delay: A case report","volume":"16","author":"Vikhe","year":"2024","journal-title":"Cureus"}],"container-title":["Annals of Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_81_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T12:25:35Z","timestamp":1787747135000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_81_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_81_26","relation":{},"ISSN":["0974-2069","0974-5149"],"issn-type":[{"value":"0974-2069","type":"print"},{"value":"0974-5149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2026-02-26","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-19","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}