Abstract.
Our knowledge of the Fontan operation tends to indicate that it remains a palliative procedure for patients with a functionally single ventricle. There is a continuing attrition and the life expectancy of these patients is likely to be different from the life expectancy of a population of individuals having a biventricular circulation. This article is an essay on the rational approach for the future management of these patients. It is suggested that a better understanding of the continuing Fontan attrition and a more subtle way to predict outcomes of patients who do receive the Fontan could help in establishing better selection criteria and designing ways to prevent, delay, or treat the side-effects of this late attrition.
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de Leval, M. The Fontan Circulation: What Have We Learned? What to Expect?. Pediatr Cardiol 19, 316–320 (1998). https://doi.org/10.1007/s002469900315
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DOI: https://doi.org/10.1007/s002469900315