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The aim is to discuss the hepatic health risks associated with the Fontan operation in survivors of congenital heart disease.

April 25, 2012Pediatric CardiologyOpen Access

The Precarious State of the Liver After a Fontan Operation: Summary of a Multidisciplinary Symposium

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The aim is to discuss the hepatic health risks associated with the Fontan operation in survivors of congenital heart disease.
Summary of consensus views from a multidisciplinary symposium held at The Children's Hospital of Philadelphia in June 2011.
Discussion of hemodynamic foundations, diagnostic tools, and hepatic histopathology post-Fontan operation.
Recommendations for a new prospective protocol for liver evaluation in patients ten years post-surgery.
Identified significant risks to liver health associated with chronically elevated venous pressure and decreased cardiac output after Fontan operation.
Described unique histopathological changes in the liver due to Fontan physiology.
Established a consensus on the need for systematic liver evaluations for long-term survivors.

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Review summarizes multidisciplinary insights on liver risks post-Fontan operation, suggesting new evaluation protocols for patients.

Rychik et al. (2012) studied this question.

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