title: An Observation from Liver Biopsies Two Decades Post-Fontan.
abstract: This brief report describes an observation from liver biopsy results in nonfailing Fontan patients, currently in their second postoperative decade. In three patients, with either atriopulmonary or atrioventricular connections and functional left ventricles, we found no portal fibrosis. In contrast, we found portal fibrosis in three clinically similar, nonfailing Fontan patients with lateral tunnel connections and functional left ventricles. We recognize the results may be secondary to chance; nevertheless, we speculate about possible relevancy.
authors.affiliation: Children's Heart Center Nevada, 3006 S. Maryland Pkwy Ste. 690, Las Vegas, NV, 89109, USA. wnevans50@aol.com.|Division of Pediatric Cardiology, Department of Pediatrics, University of Nevada School of Medicine, 2040 W. Charleston Blvd Ste. 402, Las Vegas, NV, 89109, USA. wnevans50@aol.com.
authors.forename: William N
authors.initials: WN
authors.lastname: Evans
authors.affiliation: Children's Heart Center Nevada, 3006 S. Maryland Pkwy Ste. 690, Las Vegas, NV, 89109, USA.|Division of Pediatric Cardiology, Department of Pediatrics, University of Nevada School of Medicine, 2040 W. Charleston Blvd Ste. 402, Las Vegas, NV, 89109, USA.
authors.forename: Ruben J
authors.initials: RJ
authors.lastname: Acherman
authors.affiliation: Children's Heart Center Nevada, 3006 S. Maryland Pkwy Ste. 690, Las Vegas, NV, 89109, USA.|Ahmanson/UCLA Adult Congenital Heart Disease Center, UCLA Division of Cardiology and Division of Pediatric Cardiology, 100 UCLA Medical Plaza, Suite 630, Los Angeles, CA, 90095, USA.
authors.forename: Leigh C
authors.initials: LC
authors.lastname: Reardon
authors.affiliation: Children's Heart Center Nevada, 3006 S. Maryland Pkwy Ste. 690, Las Vegas, NV, 89109, USA.|Division of Pediatric Cardiology, Department of Pediatrics, University of Nevada School of Medicine, 2040 W. Charleston Blvd Ste. 402, Las Vegas, NV, 89109, USA.
authors.forename: Alvaro
authors.initials: A
authors.lastname: Galindo
authors.affiliation: Children's Heart Center Nevada, 3006 S. Maryland Pkwy Ste. 690, Las Vegas, NV, 89109, USA.|Division of Pediatric Cardiology, Department of Pediatrics, University of Nevada School of Medicine, 2040 W. Charleston Blvd Ste. 402, Las Vegas, NV, 89109, USA.
authors.forename: Abraham
authors.initials: A
authors.lastname: Rothman
authors.affiliation: Children's Heart Center Nevada, 3006 S. Maryland Pkwy Ste. 690, Las Vegas, NV, 89109, USA.|Division of Pediatric Cardiology, Department of Pediatrics, University of Nevada School of Medicine, 2040 W. Charleston Blvd Ste. 402, Las Vegas, NV, 89109, USA.
authors.forename: Michael L
authors.initials: ML
authors.lastname: Ciccolo
authors.affiliation: Children's Heart Center Nevada, 3006 S. Maryland Pkwy Ste. 690, Las Vegas, NV, 89109, USA.|Division of Pediatric Cardiology, Department of Pediatrics, University of Nevada School of Medicine, 2040 W. Charleston Blvd Ste. 402, Las Vegas, NV, 89109, USA.
authors.forename: Sergio A
authors.initials: SA
authors.lastname: Carrillo
authors.affiliation: Laboratory Medicine Consultants, 3059 S. Maryland Parkway, Suite 100, Las Vegas, NV, 89109, USA.
authors.forename: Brody J
authors.initials: BJ
authors.lastname: Winn
authors.affiliation: Laboratory Medicine Consultants, 3059 S. Maryland Parkway, Suite 100, Las Vegas, NV, 89109, USA.
authors.forename: Noel S
authors.initials: NS
authors.lastname: Yumiaco
authors.affiliation: Children's Heart Center Nevada, 3006 S. Maryland Pkwy Ste. 690, Las Vegas, NV, 89109, USA.|Division of Pediatric Cardiology, Department of Pediatrics, University of Nevada School of Medicine, 2040 W. Charleston Blvd Ste. 402, Las Vegas, NV, 89109, USA.
authors.forename: Humberto
authors.initials: H
authors.lastname: Restrepo
mesh_terms: D001706:Biopsy; D018729:Fontan Procedure; D006330:Heart Defects, Congenital; D006352:Heart Ventricles; D006801:Humans; D008099:Liver; D011184:Postoperative Period
keywords: Congenital heart disease; Fontan operation; Liver biopsy; Liver fibrosis