Key result
A 'perfect' Fontan operation yielded predicted survival rates declining to 73% at 15 years, with a late rising hazard phase and declining functional capacity, indicating the procedure is palliative.
Why the study?
What are the early and long-term survival and functional outcomes after a "perfect" Fontan operation in patients with congenital heart disease?
Population
Patients with congenital heart disease after a "perfect" Fontan operation
Design
Cohort
Follow-up
up to 15 years
Authors
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Even perfect Fontan shows late survival and functional decline; supports inherent palliative nature and informs surveillance and intervention trials.
Observational
What are the early and long-term survival and functional outcomes after a "perfect" Fontan operation in patients with congenital heart disease?
The Fontan operation is palliative rather than curative, characterized by a late decline in survival and functional status inherent to the Fontan state itself.
Fontán et al. (1990) conducted an observational in congenital heart disease. Fontan operation was evaluated on survival rate. A 'perfect' Fontan operation yielded predicted survival rates declining to 73% at 15 years, with a late rising hazard phase and declining functional capacity, indicating the procedure is palliative.
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