Related Experiment Video

Updated: May 5, 2026

Ultrasound Assessment of Endothelial Function: A Technical Guideline of the Flow-mediated Dilation Test
06:35

Ultrasound Assessment of Endothelial Function: A Technical Guideline of the Flow-mediated Dilation Test

Published on: April 27, 2016

17.7K

2025 Clinical Practice Guidelines for the Management of Fontan Patients in Korea: A Consensus Statement With Graded

Min-Jung Cho1, Soo In Jeong2, Soo-Jin Kim3

  • 1Department of Pediatrics, Gyeongsang National University Changwon Hospital, Changwon, Korea.

Korean Circulation Journal
|February 19, 2026
PubMed

Insights

Korean pediatric cardiology has improved complex congenital heart disease outcomes. New clinical practice guidelines offer tailored long-term management for Fontan circulation patients in Korea.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease
  • Cardiovascular Surgery

Background:

  • Significant advances in pediatric cardiology over 4 decades have improved prognosis for complex congenital heart diseases, including single ventricle physiology.
  • An increasing number of patients with congenital heart disease are reaching adulthood, necessitating updated long-term management strategies.
  • There is a specific need for clinical practice guidelines reflecting current medical trends for Fontan circulation patients.

Purpose of the Study:

  • To establish the first Korean clinical practice guidelines for the long-term management of Fontan patients.
  • To address the growing need for updated guidelines reflecting the latest medical trends in pediatric cardiology.
  • To provide a framework for managing the increasing adult population with Fontan circulation.

Main Methods:

  • Formation of a Korean Fontan cohort in 2019 and a guideline development committee in 2023.
  • Review and discussion of methodology and content by 19 working committee members with expert consultation.
  • Incorporation of international guidelines (US, Europe, Australia), Korean-specific data, survey data from the Korean Pediatric Cardiology Society, and meta-analysis results.

Main Results:

  • Development of the first Korean clinical practice guidelines for Fontan patients.
  • Inclusion of evaluations of international clinical guidelines.
  • Proposal of outpatient follow-up schedules specifically tailored to the Korean clinical context.
  • Rigorous review by leading national experts to ensure completeness and applicability.

Conclusions:

  • The newly developed Korean clinical practice guidelines provide comprehensive, context-specific recommendations for Fontan patient management.
  • These guidelines reflect the latest advancements in pediatric cardiology and address the unique needs of the Korean healthcare system.
  • The guidelines aim to enhance the long-term care and outcomes for adult Fontan circulation patients in Korea.

Keywords:
ConsensusFontan procedureGuidelineRepublic of Korea

More Related Videos

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus06:15

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

Published on: March 6, 2019

53.3K
Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring06:29

Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring

Published on: May 2, 2025

865

Related Concept Videos

Mitral Regurgitation IV: Nursing Management01:28

Mitral Regurgitation IV: Nursing Management

Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
602
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
535
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
598
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
626
Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
788
Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
682