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Fontan conversion is a dated approach to the failing Fontan
  1. Louise Coats,
  2. David Crossland,
  3. Mark Hudson,
  4. John O'Sullivan,
  5. Asif Hasan
  1. Department of Congenital Cardiology, Freeman Hospital, Newcastle upon Tyne, UK
  1. Correspondence to Dr Louise Coats, Department of Congenital Cardiology, Freeman Hospital, High Heaton, Newcastle upon Tyne NE7 7DN, UK; louise.coats{at}

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To the Editor,

We read with great interest the report by van Melle et al1 who conducted a retrospective multicentre European study to assess surgical options for the failing Fontan. First, we would like to acknowledge the effort made to bring together the results of these infrequently performed, difficult interventions. However, we would also like to highlight concerns with the conclusions reached from this historical mixed registry data.

The authors state that a …

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  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.