ArticleJournal of cardiothoracic surgery2026
Selection of revision technique for suboptimal total cavopulmonary connection based on computational fluid dynamics: a case report.
Article in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUnequal pulmonary blood flow in Fontan circulation is a known contributor to development of pulmonary arteriovenous fistula (PAVF). However, optimal revision strategies remain debated, especially in patients with a pedicled autologous pericardial conduit. CASE PRESENTATION: A 23-year-old woman with a history of pulmonary atresia and previous total cavopulmonary connection (TCPC) using a pedicled pericardial extracardiac lateral tunnel developed hemoptysis and cyanosis due to left-sided PAVF. Cardiac catheterization, 3-dimensional computed tomography and 4-dimensional flow magnetic resonance imaging demonstrated unequal inferior vena cava flow preferentially directed to the right pulmonary artery. Preoperative computational fluid dynamics (CFD) simulation was used to evaluate three reconstructive options to rectify the issue. A configuration created with a prosthetic vascular graft was selected for optimal flow balance with minimal energy loss and phrenic nerve preservation. The patient tolerated the procedure well, and has been in a satisfactory condition and free of hemoptysis with reduction of PAVF over a 5-year follow-up.
conclusionCFD simulation can serve as a useful adjunctive preoperative tool for comparing hemodynamic characteristics of different TCPC revision strategies, particularly in anatomically complex cases involving pedicled pericardial conduits.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.