Evidence map›Paper›PMID 40105222›Full record

ArticleBrazilian journal of cardiovascular surgery2025

Fontan Surgical Planning: Numerical Simulations Reveal Efficient Geometries Predicting Post-Surgical Outcomes.

Paulo Cesar Duarte, Alexandre Noboru Murakami, Rudolf Huebner, Hemerson Donizete Pinheiro

Abstract read
In one paragraph

Article in Brazilian journal of cardiovascular surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Between Hearts and Gears: Technology at the Service of Life.Brazilian journal of cardiovascular surgery · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Paulo Cesar DuarteDepartment of Bioengineering, Instituto Dante Pazzanese de Cardiologia, São Paulo, São Paulo, Brazil.ORCID 0000-0002-2876-5967
Alexandre Noboru MurakamiDepartment of Clinical Surgery, Faculdade de Medicina da Universidade Estadual de Londrina (UEL), Londrina, Paraná, Brazil.
Rudolf HuebnerDepartment of Mechanical Engineering, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Hemerson Donizete PinheiroDepartment of Civil Construction, Universidade Estadual de Londrina, Londrina, Paraná, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionComputational fluid dynamics has the potential to assist cardiovascular surgeons in making more accurate decisions, allowing the prediction of post-surgical outcomes, provided that pre-surgical conditions are well established. However, the application of current techniques, which are based on volume methods, is still limited to a few specialized centers. Lack of knowledge, coupled with the need for advanced computational resources, can serve as obstacles to implementation. Objective: This study aimed to develop a replicable surgical planning procedure for a simplified and clinically feasible total cavopulmonary geometry.

methodsThe finite volume method was used to simulate different configurations of cavopulmonary anastomosis under continuous and pulsatile flow and thus gain a better understanding of blood behavior, energy efficiency, and shear stress in the studied regions.

resultsTwo geometries were found to be efficient in distributing blood flow in a physiological manner, with adequate shear stress and energy loss. In addition to the correct placement of the anastomosis, the results underscored the need for attention regarding potential stenoses in pulmonary arteries to obtain adequate geometries.

conclusionThe developed method proved to be effective for early visualization of post-surgical results, particularly in complex clinical cases. Furthermore, the method contributes to a comprehensive understanding of hemodynamics in the studied area, improving the accuracy of cardiovascular surgical planning.

Indexed as

Computer SimulationFontan ProcedureModels, CardiovascularHemodynamicsHumansPulmonary ArteryTreatment OutcomeHydrodynamicsPathologic ConstrictionPulonary ArteryPulsative FlowRight Heart BypassSurgeonsSurgical Anastomosis

Identifiers

PMID40105222
PMCPMC11925220

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.