Association of Pre-Fontan Hemodynamics With Long-Term Outcomes After Fontan Palliation: A Study From the Pediatric Cardiac Care Consortium
Elevated pre-Fontan mean pulmonary arterial pressure is a strong predictor of in-hospital and long-term post-Fontan risk of death or transplantation. Systemic right ventricle and delayed Fontan completion (>4 years of age) further increased risk. These findings support early Fontan consideration and ongoing hemodynamic surveillance to optimize long-term outcomes.
Authors
- Asaad G. Beshish (ORCID: https://orcid.org/0000-0003-2893-6882)
- Gurumurthy Hiremath (ORCID: https://orcid.org/0000-0001-6686-896X)
- Rajiv Devanagondi (ORCID: https://orcid.org/0000-0003-1715-552X)
- Yuan Yang
- Y. Huang
- Divya Suthar (ORCID: https://orcid.org/0000-0001-9441-6602)
- Fawwaz R. Shaw (ORCID: https://orcid.org/0000-0002-9873-8390)
- M. K. Gaitonde (ORCID: https://orcid.org/0000-0003-4115-181X)
- B Marino
- Anitha S. John (ORCID: https://orcid.org/0000-0002-7355-6304)
- Kimberly E. McHugh (ORCID: https://orcid.org/0000-0001-8329-5411)
- B. Alsoufi
- James D. St. Louis (ORCID: https://orcid.org/0000-0001-7389-359X)
- Lydia Wright (ORCID: https://orcid.org/0000-0001-8852-9838)
- Shriprasad R. Deshpande (ORCID: https://orcid.org/0000-0002-8358-9783)
- Hua Hao
- Xiao Song
- Matthew E. Oster
- Jessica Knight
- Geetha Raghuveer
- Jeffrey P. Jacobs
- Amanda Thomas
- Kathy Jenkins
- Alvaro Alonso
- Charles Canter
- David M. Overman
Institutions
- University of Iowa (US)
- Boston Children's Hospital (US)
- University of Minnesota (US)
- Nationwide Children's Hospital (US)
- Cleveland Clinic (US)
- St. Louis Children's Hospital (US)
- Children’s Minnesota - St. Paul Hospital (US)
- Children's National (US)
- Emory University (US)
- Medical University of South Carolina (US)
- University of Georgia (US)
- Augusta University (US)
- University of Florida (US)
- Kosair Children's Hospital (US)
- Norton Hospital (US)
- Children's Minnesota (US)
- Children's Healthcare of Atlanta (US)
- Boston Children's Museum (US)
- University of Missouri–Kansas City (US)
- The University of Texas Southwestern Medical Center (US)
- Florida College (US)
Publication Details
- Journal
- Circulation
- Published
- 2026-01-22
- DOI
- https://doi.org/10.1161/circulationaha.125.076880
- Primary Topic
- Congenital Heart Disease Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00