Late complications associated with the Fontan circulation

Marshall L. Jacobs, Glenn Pelletier

Research output: Contribution to journalArticle

Abstract

The recent significant reduction in operative mortality associated with surgical completion of the Fontan circulation is clearly multi-factorial. Better understanding of the fundamental physiological and anatomical issues have led to refinements in operative technique, early neutralization of potential risk factors, widespread use of a staged approach, and selective application of the concept of fenestration or incomplete partitioning. While further reduction of operative mortality is important, and may be anticipated in the future, major emphasis now must be placed on optimizing functional outcome, and understanding and managing the late complications associated with the unique physiology produced by the Fontan circulation.

Original languageEnglish (US)
Pages (from-to)80-84
Number of pages5
JournalCardiology in the young
Volume16
Issue numberSUPPL. 1
DOIs
StatePublished - Feb 1 2006
Externally publishedYes

Keywords

  • Atrioventricular valvar atresia
  • Double inlet ventricle
  • Functionally univentricular circulation
  • Protein-losing enteropathy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

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