Despite 50 years of imaging and therapeutic improvements, heart transplantation remains the only definitive treatment for failing Fontan circulation.
Heart transplantation remains essential for failing Fontan; leaves open the need for alternative definitive therapies.
The Fontan procedure is often the only definitive palliative surgical option for patients with a variety of complex CHD sharing in common, a single, dominant ventricle. In recent decades, imaging and therapeutic improvement have played a crucial role in those patients in whom many complications can hamper their life. After 50 years from the first procedure, heart transplantation remains the only definitive treatment for those with a failing Fontan circulation.
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Gargiulo et al. (2020) studied this question.
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