Table 1

 Baseline characteristics of the female patients after Fontan repair (n = 38)

*These may differ from the type at menarche due to repeat Fontan procedures; †including three third operations.
AP, atriopulmonary; AV, atrioventricular; RA, right atrial; RV, right ventricular.
Primary cardiac malformation
    Tricuspid atresia18 (47.4%)
    Double inlet left ventricle7 (18.4%)
    Pulmonary atresia with intact ventricular septum3 (7.9%)
    Double outlet right ventricle3 (7.9%)
    Complete AV septal defect2 (5.3%)
    Other5 (18.5%)
Palliative procedures before Fontan
    Blalock–Taussig shunt16 (42.1%)
    Waterston shunt3 (7.9%)
    Classic Glenn shunt2 (5.3%)
    Rashkind atrioseptostomy1 (2.6%)
    Pulmonary artery banding1 (2.6%)
    None15 (39.4%)
Median age at first palliation (years)3.5 (range 1–25)
Type of Fontan repair (at menarche/at inclusion*)
    AP connection (RA-AP)22 (57.9%)/23 (60.5%)
    AV connection (RA-RV)8 (21.1%)/5 (13.2%)
    Total cavopulmonary connection3 (7.9%)/10 (26.3%)
    None5 (13.2%)/0
Median age at (primary) Fontan repair (years)7.5 (range 3–25)
Number of repeat Fontan operations20†
Sequelae at inclusion
    Atrial flutter/atrial fibrillation19 (50.0%)
    Permanent pacemaker6 (15.7%)
    Protein C deficiency6 (15.7%)
    Thromboembolic complications4 (10.5%)
    Protein-losing enteropathy1 (2.6%)
New York Heart Association class at inclusion
    I/II36 (94.7%)
    III/IV2 (5.3%)
Echocardiography at inclusion
    Severe impairment of systemic ventricular function5 (13.2%)
    Severe (grade III–IV) systemic AV valve regurgitation6 (15.7%)