{"id":"https://openalex.org/W4408649233","doi":"https://doi.org/10.21470/1678-9741-2024-0217","title":"Fontan Surgical Planning: Numerical Simulations Reveal Efficient Geometries Predicting Post-Surgical Outcomes","display_name":"Fontan Surgical Planning: Numerical Simulations Reveal Efficient Geometries Predicting Post-Surgical Outcomes","publication_year":2024,"publication_date":"2024-01-01","ids":{"openalex":"https://openalex.org/W4408649233","doi":"https://doi.org/10.21470/1678-9741-2024-0217","pmid":"https://pubmed.ncbi.nlm.nih.gov/40105222","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11925220"},"language":"en","primary_location":{"id":"doi:10.21470/1678-9741-2024-0217","doi":"https://doi.org/10.21470/1678-9741-2024-0217","is_oa":true,"landing_page_url":"https://doi.org/10.21470/1678-9741-2024-0217","pdf_url":"https://doi.org/10.21470/1678-9741-2024-0217","source":{"id":"https://openalex.org/S4210172669","display_name":"Brazilian Journal of Cardiovascular Surgery","issn_l":"0102-7638","issn":["0102-7638","1678-9741"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-20","russia-white-list-2","scielo"],"host_organization":"https://openalex.org/P4310312582","host_organization_name":"Brazilian Society of Cardiovascular Surgery","host_organization_lineage":["https://openalex.org/P4310312582"],"host_organization_lineage_names":["Brazilian Society of Cardiovascular Surgery"],"type":"journal"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Brazilian Journal of Cardiovascular Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.21470/1678-9741-2024-0217","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5040638094","display_name":"Paulo Cesar Duarte","orcid":"https://orcid.org/0000-0002-2876-5967","observed_orcids":["https://orcid.org/0000-0002-2876-5967"]},"institutions":[{"id":"https://openalex.org/I4210152499","display_name":"Instituto Dante Pazzanese de Cardiologia","ror":"https://ror.org/04spxqa35","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210152499"]}],"countries":["BR"],"is_corresponding":true,"raw_author_name":"Paulo Cesar Duarte Junior","raw_affiliation_strings":["Department of Bioengineering, Instituto Dante Pazzanese de Cardiologia, S\u00e3o Paulo, S\u00e3o Paulo, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Bioengineering, Instituto Dante Pazzanese de Cardiologia, S\u00e3o Paulo, S\u00e3o Paulo, Brazil","institution_ids":["https://openalex.org/I4210152499"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049539277","display_name":"Alexandre Noboru Murakami","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I127110123","display_name":"Universidade Estadual de Londrina","ror":"https://ror.org/01585b035","country_code":"BR","type":"education","lineage":["https://openalex.org/I127110123"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Alexandre Noboru Murakami","raw_affiliation_strings":["Department of Clinical Surgery, Faculdade de Medicina da Universidade Estadual de Londrina (UEL), Londrina, Paran\u00e1, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Surgery, Faculdade de Medicina da Universidade Estadual de Londrina (UEL), Londrina, Paran\u00e1, Brazil","institution_ids":["https://openalex.org/I127110123"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022354956","display_name":"Rudolf Huebner","orcid":"https://orcid.org/0000-0003-2613-304X","observed_orcids":["https://orcid.org/0000-0003-2613-304X"]},"institutions":[{"id":"https://openalex.org/I110200422","display_name":"Universidade Federal de Minas Gerais","ror":"https://ror.org/0176yjw32","country_code":"BR","type":"education","lineage":["https://openalex.org/I110200422"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Rudolf Huebner","raw_affiliation_strings":["Department of Mechanical Engineering, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Mechanical Engineering, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil","institution_ids":["https://openalex.org/I110200422"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5074591887","display_name":"Hemerson Donizete Pinheiro","orcid":"https://orcid.org/0000-0003-4103-3514","observed_orcids":["https://orcid.org/0000-0003-4103-3514"]},"institutions":[{"id":"https://openalex.org/I127110123","display_name":"Universidade Estadual de Londrina","ror":"https://ror.org/01585b035","country_code":"BR","type":"education","lineage":["https://openalex.org/I127110123"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Hemerson Donizete Pinheiro","raw_affiliation_strings":["Department of Civil Construction, Universidade Estadual de Londrina, Londrina, Paran\u00e1, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Civil Construction, Universidade Estadual de Londrina, Londrina, Paran\u00e1, Brazil","institution_ids":["https://openalex.org/I127110123"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5040638094"],"corresponding_institution_ids":["https://openalex.org/I4210152499"],"apc_list":null,"apc_paid":null,"fwci":0.8765,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.78777435,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":97},"biblio":{"volume":"40","issue":"2","first_page":"e20240217","last_page":"e20240217"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10300","display_name":"Congenital Heart Disease Studies","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10300","display_name":"Congenital Heart Disease Studies","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10675","display_name":"Mechanical Circulatory Support Devices","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11055","display_name":"Cardiac and Coronary Surgery Techniques","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/fontan-procedure","display_name":"Fontan procedure","score":0.843999981880188},{"id":"https://openalex.org/keywords/surgical-planning","display_name":"surgical planning","score":0.7770000100135803},{"id":"https://openalex.org/keywords/cavopulmonary-anastomosis","display_name":"cavopulmonary anastomosis","score":0.906000018119812},{"id":"https://openalex.org/keywords/total-cavopulmonary-connection","display_name":"total cavopulmonary connection","score":0.9309999942779541},{"id":"https://openalex.org/keywords/hemodynamics","display_name":"hemodynamics","score":0.7620000243186951},{"id":"https://openalex.org/keywords/shear-stress","display_name":"shear stress","score":0.6790000200271606},{"id":"https://openalex.org/keywords/energy-loss","display_name":"energy loss","score":0.8790000081062317},{"id":"https://openalex.org/keywords/pulsatile-flow","display_name":"pulsatile flow","score":0.8230000138282776},{"id":"https://openalex.org/keywords/pulmonary-artery-stenosis","display_name":"pulmonary artery stenosis","score":0.9549999833106995},{"id":"https://openalex.org/keywords/computational-fluid-dynamics","display_name":"computational fluid dynamics","score":0.5839999914169312},{"id":"https://openalex.org/keywords/finite-volume-method","display_name":"finite volume method","score":0.8859999775886536}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.789056122303009},{"id":"https://openalex.org/C79191276","wikidata":"https://www.wikidata.org/wiki/Q7259620","display_name":"Pulsatile flow","level":2,"score":0.7011982202529907},{"id":"https://openalex.org/C2779370443","wikidata":"https://www.wikidata.org/wiki/Q1776627","display_name":"Surgical planning","level":2,"score":0.6973581314086914},{"id":"https://openalex.org/C3018608816","wikidata":"https://www.wikidata.org/wiki/Q195818","display_name":"Surgical simulation","level":2,"score":0.619633138179779},{"id":"https://openalex.org/C8443397","wikidata":"https://www.wikidata.org/wiki/Q15177","display_name":"Anastomosis","level":2,"score":0.5470923781394958},{"id":"https://openalex.org/C21141959","wikidata":"https://www.wikidata.org/wiki/Q657936","display_name":"Shear stress","level":2,"score":0.46215373277664185},{"id":"https://openalex.org/C158846371","wikidata":"https://www.wikidata.org/wiki/Q1642137","display_name":"Blood flow","level":2,"score":0.4571845233440399},{"id":"https://openalex.org/C36464697","wikidata":"https://www.wikidata.org/wiki/Q451553","display_name":"Visualization","level":2,"score":0.45277243852615356},{"id":"https://openalex.org/C178853913","wikidata":"https://www.wikidata.org/wiki/Q1642137","display_name":"Hemodynamics","level":2,"score":0.42587897181510925},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4096229672431946},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.2729564309120178},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.2243765890598297},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.09863981604576111},{"id":"https://openalex.org/C57879066","wikidata":"https://www.wikidata.org/wiki/Q41217","display_name":"Mechanics","level":1,"score":0.09106764197349548},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D003198","descriptor_name":"Computer Simulation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006439","descriptor_name":"Hemodynamics","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008955","descriptor_name":"Models, Cardiovascular","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011651","descriptor_name":"Pulmonary Artery","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018729","descriptor_name":"Fontan Procedure","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.21470/1678-9741-2024-0217","doi":"https://doi.org/10.21470/1678-9741-2024-0217","is_oa":true,"landing_page_url":"https://doi.org/10.21470/1678-9741-2024-0217","pdf_url":"https://doi.org/10.21470/1678-9741-2024-0217","source":{"id":"https://openalex.org/S4210172669","display_name":"Brazilian Journal of Cardiovascular Surgery","issn_l":"0102-7638","issn":["0102-7638","1678-9741"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-20","russia-white-list-2","scielo"],"host_organization":"https://openalex.org/P4310312582","host_organization_name":"Brazilian Society of Cardiovascular Surgery","host_organization_lineage":["https://openalex.org/P4310312582"],"host_organization_lineage_names":["Brazilian Society of Cardiovascular Surgery"],"type":"journal"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Brazilian Journal of Cardiovascular Surgery","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11925220","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11925220","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Braz J Cardiovasc Surg","raw_type":"Text"},{"id":"pmid:40105222","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40105222","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Brazilian journal of cardiovascular surgery","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.21470/1678-9741-2024-0217","doi":"https://doi.org/10.21470/1678-9741-2024-0217","is_oa":true,"landing_page_url":"https://doi.org/10.21470/1678-9741-2024-0217","pdf_url":"https://doi.org/10.21470/1678-9741-2024-0217","source":{"id":"https://openalex.org/S4210172669","display_name":"Brazilian Journal of Cardiovascular Surgery","issn_l":"0102-7638","issn":["0102-7638","1678-9741"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-20","russia-white-list-2","scielo"],"host_organization":"https://openalex.org/P4310312582","host_organization_name":"Brazilian Society of Cardiovascular Surgery","host_organization_lineage":["https://openalex.org/P4310312582"],"host_organization_lineage_names":["Brazilian Society of Cardiovascular Surgery"],"type":"journal"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Brazilian Journal of Cardiovascular Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.8048999905586243}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4408649233.pdf","grobid_xml":"https://content.openalex.org/works/W4408649233.grobid-xml"},"referenced_works_count":16,"referenced_works":["https://openalex.org/W1984794700","https://openalex.org/W2014601877","https://openalex.org/W2030631839","https://openalex.org/W2030867168","https://openalex.org/W2086279598","https://openalex.org/W2102787276","https://openalex.org/W2139260557","https://openalex.org/W2167723092","https://openalex.org/W2168595349","https://openalex.org/W2338735221","https://openalex.org/W2783699861","https://openalex.org/W2944876743","https://openalex.org/W2945157474","https://openalex.org/W2999515245","https://openalex.org/W4221126539","https://openalex.org/W4293207825"],"related_works":["https://openalex.org/W1968842599","https://openalex.org/W2076747429","https://openalex.org/W7117878593","https://openalex.org/W1994656278","https://openalex.org/W7204673146","https://openalex.org/W4403387126","https://openalex.org/W4409026765","https://openalex.org/W2913854182","https://openalex.org/W2091160948","https://openalex.org/W1987435573"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Computational":[1],"fluid":[2],"dynamics":[3],"has":[4],"the":[5,17,30,54,120,149,153,155,158,192,202,206],"potential":[6,163],"to":[7,44,64,70,93,128,148,168,177,195],"assist":[8],"cardiovascular":[9,209],"surgeons":[10],"in":[11,119,131,135,165,187,201],"making":[12],"more":[13],"accurate":[14],"decisions,":[15],"allowing":[16],"prediction":[18],"of":[19,32,50,97,111,152,183,199,208],"post-surgical":[20,184],"outcomes,":[21],"provided":[22],"that":[23],"pre-surgical":[24],"conditions":[25],"are":[26,36],"well":[27],"established.":[28],"However,":[29],"application":[31],"current":[33],"techniques,":[34],"which":[35],"based":[37],"on":[38],"volume":[39,89],"methods,":[40],"is":[41],"still":[42],"limited":[43],"a":[45,72,78,108,136,196],"few":[46],"specialized":[47],"centers.":[48],"Lack":[49],"knowledge,":[51],"coupled":[52],"with":[53,139],"need":[55,159],"for":[56,77,160,180],"advanced":[57],"computational":[58],"resources,":[59],"can":[60],"serve":[61],"as":[62],"obstacles":[63],"implementation.":[65],"Objective:":[66],"This":[67],"study":[68],"aimed":[69],"develop":[71],"replicable":[73],"surgical":[74,210],"planning":[75],"procedure":[76],"simplified":[79],"and":[80,102,105,116,143],"clinically":[81],"feasible":[82],"total":[83],"cavopulmonary":[84,98],"geometry.":[85],"METHODS:":[86],"The":[87,173],"finite":[88],"method":[90,175,193],"was":[91],"used":[92],"simulate":[94],"different":[95],"configurations":[96],"anastomosis":[99],"under":[100],"continuous":[101],"pulsatile":[103],"flow":[104,134],"thus":[106],"gain":[107],"better":[109],"understanding":[110,198],"blood":[112,133],"behavior,":[113],"energy":[114,144],"efficiency,":[115],"shear":[117,141],"stress":[118,142],"studied":[121,203],"regions.":[122],"RESULTS:":[123],"Two":[124],"geometries":[125],"were":[126],"found":[127],"be":[129,178],"efficient":[130],"distributing":[132],"physiological":[137],"manner,":[138],"adequate":[140,170],"loss.":[145],"In":[146],"addition":[147],"correct":[150],"placement":[151],"anastomosis,":[154],"results":[156],"underscored":[157],"attention":[161],"regarding":[162],"stenoses":[164],"pulmonary":[166],"arteries":[167],"obtain":[169],"geometries.":[171],"CONCLUSION:":[172],"developed":[174],"proved":[176],"effective":[179],"early":[181],"visualization":[182],"results,":[185],"particularly":[186],"complex":[188],"clinical":[189],"cases.":[190],"Furthermore,":[191],"contributes":[194],"comprehensive":[197],"hemodynamics":[200],"area,":[204],"improving":[205],"accuracy":[207],"planning.":[211]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2025-03-20T00:00:00"}