Long Term Consequences of the Fontan Procedure and How to Manage Them.

Journal Article (Journal Article;Review)

In 1971, Fontan and Baudet described a surgical technique for successful palliation of patients with tricuspid atresia. Subsequently, this technique has been applied to treat most forms of functional single ventricles and has become the current standard of care for long-term palliation of all patients with single ventricle congenital heart disease. Since 1971, the Fontan procedure has undergone several variations. These patients require lifelong management including a thorough knowledge of their anatomic substrate, hemodynamic status, management of rhythm and ventricular function along with multi organ evaluation. As these patients enter middle age, there is increasing awareness regarding the long-term complications and mortality. This review highlights the long-term outcomes of the Fontan procedure and management of late sequelae.

Full Text

Duke Authors

Cited Authors

  • Kay, WA; Moe, T; Suter, B; Tennancour, A; Chan, A; Krasuski, RA; Zaidi, AN

Published Date

  • September 2018

Published In

Volume / Issue

  • 61 / 3-4

Start / End Page

  • 365 - 376

PubMed ID

  • 30236751

Electronic International Standard Serial Number (EISSN)

  • 1873-1740

Digital Object Identifier (DOI)

  • 10.1016/j.pcad.2018.09.005


  • eng

Conference Location

  • United States