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Peer-reviewedCC BY-NC 4.0Archivos Peruanos de Cardiología y Cirugía Cardiovascular

Heart transplant in an adult patient with dysfunctional Fontan circulation at a high-complexity cardiovascular center in Peru: A case report

  1. 1Departamento de Cirugía Cardiovascular, Instituto Nacional Cardiovascular, Lima, Peru. Departamento de Cirugía Cardiovascular Instituto Nacional Cardiovascular Lima Peru

Abstract

Fontan circulation failure represents a progressive condition associated with multiorgan dysfunction and increased morbidity and mortality. In this context, heart transplantation has become the definitive treatment for this subgroup of patients. Reported survival rates after heart transplantation in patients with Fontan circulation are approximately 80% at 1 year, 74% at 5 years, and 59% at 10 years. We present the case of a 46-year-old patient with a history of Ebstein anomaly who underwent intracardiac Fontan surgery, which progressed to progressive Fontan circulation failure, and who underwent orthotopic heart transplantation with reconstruction of the pulmonary branches.

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BibTeX
@article{moncada2026heart,
  title = {{Heart transplant in an adult patient with dysfunctional Fontan circulation at a high-complexity cardiovascular center in Peru: A case report}},
  author = {Roger Yoel Conde Moncada and Víctor Robles Velarde and Romel Zamudio Silva and Edwin Amado Masabel Chicoma and Sergio Martín Zavala Castillo and Franz Ronald Soplopuco Palacios},
  journal = {Archivos Peruanos de Cardiología y Cirugía Cardiovascular},
  year = {2026},
  month = sep,
  doi = {10.47487/apcyccv.v7i3.607},
  url = {https://doi.org/10.47487/apcyccv.v7i3.607},
  note = {CC BY-NC 4.0},
}
RIS
TY  - JOUR
TI  - Heart transplant in an adult patient with dysfunctional Fontan circulation at a high-complexity cardiovascular center in Peru: A case report
AU  - Roger Yoel Conde Moncada
AU  - Víctor Robles Velarde
AU  - Romel Zamudio Silva
AU  - Edwin Amado Masabel Chicoma
AU  - Sergio Martín Zavala Castillo
AU  - Franz Ronald Soplopuco Palacios
PY  - 2026
DA  - 2026/09/26
JO  - Archivos Peruanos de Cardiología y Cirugía Cardiovascular
DO  - 10.47487/apcyccv.v7i3.607
UR  - https://doi.org/10.47487/apcyccv.v7i3.607
AB  - Fontan circulation failure represents a progressive condition associated with multiorgan dysfunction and increased morbidity and mortality. In this context, heart transplantation has become the definitive treatment for this subgroup of patients. Reported survival rates after heart transplantation in patients with Fontan circulation are approximately 80% at 1 year, 74% at 5 years, and 59% at 10 years. We present the case of a 46-year-old patient with a history of Ebstein anomaly who underwent intracardiac Fontan surgery, which progressed to progressive Fontan circulation failure, and who underwent orthotopic heart transplantation with reconstruction of the pulmonary branches.
SN  - 2708-7212
ER  -