The Fontan circulation: What have we learned? What to expect?

Pediatr Cardiol. 1998 Jul-Aug;19(4):316-20. doi: 10.1007/s002469900315.


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.

Publication types

  • Review

MeSH terms

  • Collateral Circulation
  • Fontan Procedure*
  • Heart Defects, Congenital / surgery*
  • Heart Ventricles / abnormalities*
  • Heart Ventricles / surgery
  • Humans
  • Palliative Care
  • Prognosis
  • Pulmonary Artery / surgery
  • Venae Cavae / surgery