ArticleRadiology. Cardiothoracic imaging2024
Sequential MRI Evaluation of Lymphatic Abnormalities over the Course of Fontan Completion.
Article in Radiology. Cardiothoracic imaging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- The Missing Dimension in Fontan Candidacy: Preoperative Lymphatic Phenotype.Pediatric cardiology · 2026Article
- Impact of fat content of oral nutritional intake on visibility and diameter of the thoracic duct: a prospective study.Scientific reports · 2026Article
- Role of magnetic resonance lymphangiography in the early complication management of post-Fontan palliation: A case report.Turk gogus kalp damar cerrahisi dergisi · 2025Article
- Lymphatic evaluation with magnetic resonance lymphangiography in Fontan patients: Our single-center experience.Turk gogus kalp damar cerrahisi dergisi · 2025Article
- Review
- Systemic Changes in Adults With a Fontan Circulation: Insights From the Plasma Proteome.Journal of the American Heart Association · 2025Article
- Impact of cardiovascular magnetic resonance in single ventricle physiology: a narrative review.Cardiovascular diagnosis and therapy · 2024Review
- Thoracic Lymphatic Perfusion Patterns Assessed by Magnetic Resonance Imaging and Late Fontan Failure.Diagnostics (Basel, Switzerland) · 2024Article
- Innominate Vein Turndown Procedure as Another Option for Lymphatic Abnormalities in Fontan Patients.Radiology. Cardiothoracic imaging · 2024Article
- Noncontrast MR Lymphangiography to Identify Progression of Lymphatic Abnormalities over the Course of Fontan Completion.Radiology. Cardiothoracic imaging · 2024Article
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8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose To evaluate lymphatic abnormalities before and after Fontan completion using noncontrast lymphatic imaging and relate findings with postoperative outcomes. Materials and Methods This study is a retrospective review of noncontrast T2-weighted lymphatic imaging performed at The Children's Hospital of Philadelphia from June 2012 to February 2023 in patients with single ventricle physiology. All individuals with imaging at both pre-Fontan and Fontan stages were eligible. Lymphatic abnormalities were classified into four types based on severity and location of lymphatic vessels. Classifications were compared between images and related to clinical outcomes such as postoperative drainage and hospitalization, lymphatic complications, heart transplant, and death. Results Forty-three patients (median age, 10 years [IQR, 8-11]; 20 [47%] boys, 23 [53%] girls) were included in the study. Lymphatic abnormalities progressed in 19 individuals after Fontan completion (distribution of lymphatic classifications: type 1, 23; type 2, 11; type 3, 6; type 4, 3 vs type 1, 10; type 2, 18; type 3, 10; type 4, 5;
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