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The fate of the Fontan circulation
Rosaria Barracano1, Claudia Montanaro2,3, Sebastien Hascoet4
1Adult Congenital Heart Disease Centre, Congenital and Familial Arrhythmias Unit, AORN Ospedale dei Colli, Monaldi Hospital, Naples 80131, Italy.
None:
Since the first operation performed in 1968, the worldwide population of patients living with Fontan circulation is dramatically growing, with 40% reaching adulthood in the current era. Despite this remarkable improvement in survival, some patients struggle with Fontan-related complications including heart failure, arrhythmias, end-organ dysfunction, and premature death. This review aims at describing common complications of the Fontan circulation, proposing a clinical and mortality risk score to better stratify this complex population as well as exploring the current state of art in catheter interventions and transplant.
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