ArticleWorld journal for pediatric & congenital heart surgery2022
Dominant Ventricular Morphology and Early Postoperative Course After the Fontan Procedure.
Article in World journal for pediatric & congenital heart surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Tricuspid Valve Repair Can Restore the Prognosis of Patients with Hypoplastic Left Heart Syndrome and Tricuspid Valve Regurgitation: A Meta-analysis.Pediatric cardiology · 2024Pooled it
- Outcome of Fontan Patients After Reaching Adolescence: The Impact of Hypoplastic Left Heart Syndrome.Journal of clinical medicine · 2025Article
- Postoperative Outcomes of Fontan Operation in a Multicenter Italian Study. How Far Have We Gone? Early Outcomes After Fontan Operation.Pediatric cardiology · 2025Article
- Longitudinal changes in ventricular function and atrioventricular valve failure following cardiac morphology after Fontan procedure.Journal of thoracic disease · 2025Article
- Days alive and out of hospital for children born with single-ventricle heart disease.Cardiology in the young · 2024Article
- Cardiovascular Outcomes in Fontan Patients With Right vs Left Univentricular Morphology: A Multicenter Study.JACC. Advances · 2024Article
- Risk Factors for Adverse Events in the Fontan Population: Does Ventricular Morphology Play a Role?JACC. Advances · 2024Article
- Impact of Ventricular Dominance on Long-Term Fontan Outcomes: A 25-year Single-institution Study.The Annals of thoracic surgery · 2023Article
- The Impact of Dominant Ventricular Morphology on the Early Postoperative Course After the Glenn Procedure.Pediatric cardiology · 2023Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSingle ventricle heart disease comprises a wide variety of critical heart defects that lead to the provision of systemic cardiac output by one dominant ventricle. It requires staged surgical palliation that culminates in Fontan circulation. Dominant ventricular morphology in single ventricle patients reportedly has an impact on postoperative morbidity and mortality with varying results. The objectives of this study were to examine the association between ventricular morphology and the early postoperative course after the Fontan procedure.
methodsA retrospective cohort study in a tertiary referral pediatric medical center that included 98 consecutive patients who underwent Fontan procedure between October 2009 and May 2016. Postoperative outcomes were compared between patients with left ventricular morphology and those with right ventricular morphology (crude effect and regression analysis).
resultsPatients with right ventricular morphology had longer postoperative hospitalizations compared to patients with left ventricular morphology (26.5 days vs 18.2 days, respectively,
conclusionsThe Fontan procedure in patients with right ventricular morphology is associated with longer postoperative hospitalization and worse early postoperative characteristics (ventricular dysfunction and atrioventricular valve regurgitation) as well as higher rates of early, transient signs of sub-optimal postoperative hemodynamics compared to those with left ventricular morphology.
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