Surveillance for liver complications after the Fontan procedure

Moira B. Hilscher; Jonathan N. Johnson; Frank Cetta; David J. Driscoll; John J. Poterucha; William Sanchez; Heidi M. Connolly; Patrick S. Kamath

doi:10.1111/chd.12446

Surveillance for liver complications after the Fontan procedure

Moira B. Hilscher, Jonathan N. Johnson, Frank Cetta, David J. Driscoll, John J. Poterucha, William Sanchez, Heidi M. Connolly, Patrick S. Kamath

Research output: Contribution to journal › Review article › peer-review

29 Scopus citations

Abstract

The physiological consequences of the Fontan circulation impose risk for hepatic dysfunction and may culminate in hepatic fibrosis, cirrhosis, and hepatocellular carcinoma. Consensus regarding appropriate surveillance modalities to diagnose liver disease in Fontan patients is lacking, in part due to the relative lack of strong evidence and prospective studies in this patient population. The goal of this paper is to critically review the current evidence and provide recommendations for the surveillance of hepatic complications in the post-Fontan patient population.

Original language	English (US)
Pages (from-to)	124-132
Number of pages	9
Journal	Congenital Heart Disease
Volume	12
Issue number	2
DOIs	https://doi.org/10.1111/chd.12446
State	Published - Mar 1 2017

Keywords

Fontan
cirrhosis

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Surgery
Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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10.1111/chd.12446

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title = "Surveillance for liver complications after the Fontan procedure",

abstract = "The physiological consequences of the Fontan circulation impose risk for hepatic dysfunction and may culminate in hepatic fibrosis, cirrhosis, and hepatocellular carcinoma. Consensus regarding appropriate surveillance modalities to diagnose liver disease in Fontan patients is lacking, in part due to the relative lack of strong evidence and prospective studies in this patient population. The goal of this paper is to critically review the current evidence and provide recommendations for the surveillance of hepatic complications in the post-Fontan patient population.",

keywords = "Fontan, cirrhosis",

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AU - Hilscher, Moira B.

AU - Johnson, Jonathan N.

AU - Cetta, Frank

AU - Driscoll, David J.

AU - Poterucha, John J.

AU - Sanchez, William

AU - Connolly, Heidi M.

AU - Kamath, Patrick S.

PY - 2017/3/1

Y1 - 2017/3/1

N2 - The physiological consequences of the Fontan circulation impose risk for hepatic dysfunction and may culminate in hepatic fibrosis, cirrhosis, and hepatocellular carcinoma. Consensus regarding appropriate surveillance modalities to diagnose liver disease in Fontan patients is lacking, in part due to the relative lack of strong evidence and prospective studies in this patient population. The goal of this paper is to critically review the current evidence and provide recommendations for the surveillance of hepatic complications in the post-Fontan patient population.

AB - The physiological consequences of the Fontan circulation impose risk for hepatic dysfunction and may culminate in hepatic fibrosis, cirrhosis, and hepatocellular carcinoma. Consensus regarding appropriate surveillance modalities to diagnose liver disease in Fontan patients is lacking, in part due to the relative lack of strong evidence and prospective studies in this patient population. The goal of this paper is to critically review the current evidence and provide recommendations for the surveillance of hepatic complications in the post-Fontan patient population.

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KW - cirrhosis

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Surveillance for liver complications after the Fontan procedure

Abstract

Keywords

ASJC Scopus subject areas

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