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Pediatric Cardiology

, Volume 19, Issue 4, pp 316–320 | Cite as

The Fontan Circulation: What Have We Learned? What to Expect?

  • M.R.  de Leval
Article

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.

Key words: Fontan circulation, late attrition 

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Copyright information

© Springer-Verlag New York Inc. 1998

Authors and Affiliations

  • M.R.  de Leval
    • 1
  1. 1.Great Ormond Street Hospital for Children, London, UKGB

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