Evidence map›Paper›PMID 40923081›Full record

ArticleJTCVS open2025

Outcomes of the Fontan operation in patients with Ebstein anomaly: An Australia and New Zealand Fontan registry study.

Michael Daley, Igor E Konstantinov, Julian Ayer, Ajay Iyengar, David Celermajer, Rachael Cordina, Terry Robertson, Aditya Patukale, Nelson Alphonso, Yves d'Udekem

Abstract read
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In one paragraph

Article in JTCVS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Michael DaleyDepartment of Cardiac Surgery, Royal Children's Hospital, Melbourne, Victoria, Australia.
Igor E KonstantinovDepartment of Cardiac Surgery, Royal Children's Hospital, Melbourne, Victoria, Australia.
Julian AyerThe Sydney Children's Hospital Network, Sydney, New South Wales, Australia.
Ajay IyengarGreen Lane Paediatric and Congenital Cardiac Service, Starship Children's Hospital, Auckland, New Zealand.
David CelermajerSydney Medical School, University of Sydney, Sydney, New South Wales, Australia.
Rachael CordinaSydney Medical School, University of Sydney, Sydney, New South Wales, Australia.
Terry RobertsonDepartment of Cardiology, Women's and Children's Hospital, Adelaide, South Australia, Australia.
Aditya PatukaleDepartment of Cardiac Surgery, Queensland Children's Hospital, Brisbane, Queensland, Australia.
Nelson AlphonsoDepartment of Cardiac Surgery, Queensland Children's Hospital, Brisbane, Queensland, Australia.
Yves d'UdekemDivision of Cardiovascular Surgery, Children's National Heart Institute, Children's National Hospital, Washington, DC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: We sought to review the outcomes of patients with Ebstein anomaly (EA) after the Fontan operation. Methods: Patients with EA were identified from a large binational registry about the Fontan operation. Data were collected from hospital records, registry data, and clinical correspondence. Results: Of the 1601 patients who underwent a contemporary Fontan operation from 1991 to 2023, 34 patients had EA. Seven patients (21%) had concomitant congenitally corrected transposition of great arteries. Prior Starnes procedure was performed in 18 (53%) patients. Survival after Fontan operation in patients with EA was 92% (95% CI, 70%-98%) and freedom from Fontan failure was 80% (95% CI, 53%-92%) at 10 years. Patients with EA had worse long-term survival ( Conclusions: Patients with EA have worse long-term outcomes after the Fontan operation compared with other patients with left ventricular dominance. Patients with a prior Starnes procedure appear to have good post-Fontan outcomes, although bias may occur due to small numbers.

Indexed as

congenitally corrected transposition of the great arteriesEbstein anomalyFontanoutcomessingle ventricletricuspid valve

Identifiers

PMID40923081
PMCPMC12414418

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