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Surveillance of Fontan-associated liver disease: current standards and a proposal from the European Society of Paediatric Radiology Abdominal Task Force

  • Giulia Perucca
  • , Charlotte de Lange
  • , Stéphanie Franchi-Abella
  • , Marcello Napolitano
  • , Michael Riccabona
  • , Damjana Ključevšek
  • , Seema Toso
  • , Jochen Herrmann
  • , Samuel Stafrace
  • , Kassa Darge
  • , Maria Beatrice Damasio
  • , Costanza Bruno
  • , Magdalena Maria Woźniak
  • , Luisa Lobo
  • , Donald Ibe
  • , Anne M. Smets
  • , Philippe Petit
  • , Lil-Sofie Ording Müller*
  • *Corresponding author for this work
  • Molinette Research Foundation, Regina Margherita Hospital, Turin, Italy
  • Sahlgrenska University Hospital
  • Assistance publique – Hôpitaux de Paris
  • Ospedale dei Bambini Vittore Buzzi
  • Medical University of Graz
  • University of Ljubljana
  • University of Geneva
  • University of Hamburg
  • Sidra Medical and Research Center
  • Weill Cornell Medicine-Qatar
  • University of Pennsylvania
  • IRCCS Istituto Giannina Gaslini - Genova
  • Ospedale Policlinico
  • Medical University of Lublin
  • University of Lisbon
  • Department of Radiology, Silhouette Diagnostic Consultants, Abuja, Nigeria
  • Aix-Marseille Université
  • University of Oslo

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Since Francis Fontan first introduced the eponymous technique, the Fontan procedure, this type of surgical palliation has allowed thousands of children affected by specific heart malformations to reach adulthood. Nevertheless, abdominal, thoracic, lymphatic and neurologic complications are the price that is paid by these patients. Our review focuses on Fontan-associated liver disease; the purpose is to summarize the current understanding of its physiopathology, the aim of follow-up and the specific radiologic follow-up performed in Europe. Finally, we as members of the Abdominal Task Force of the European Society of Paediatric Radiology propose a consensus-based imaging follow-up algorithm.
Original languageEnglish
Pages (from-to)2598-2606
Number of pages9
JournalPediatric radiology
Volume51
Issue number13
Early online date2021
DOIs
Publication statusPublished - Dec 2021

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Adolescents
  • Children
  • Cirrhosis
  • Fontan procedure
  • Hepatocellular carcinoma
  • Liver
  • Liver fibrosis
  • Magnetic resonance imaging
  • Ultrasound

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