Long-term Results and Re-intervention after the Fontan Operation

Abstract

The surgical outcome of the Fontan operation has improved with refinements of the surgical technique and advances in perioperative management. As a large number of patients survive to adult after the surgery, the factors responsible for deterioration of patient quality of life have become important concerns. To maintain a sufficient Fontan circulation, catheterization or surgical re-intervention must be considered at the appropriate time together with meticulous follow-up and medical treatment.