Population
352 patients who had the Fontan operation prior to 1985
Design
Cohort
Follow-up
5 to 15 years
Authors
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Supports excluding high-risk patients from Fontan palliation; leaves open whether modern techniques improve survival.
Long-term follow-up of early-era Fontan operations shows a 10-year survival of 60%, highlighting the necessity of excluding high-risk patients to ensure good functional outcomes.
Driscoll et al. (1992) studied this question.
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