Key result
This review discusses the physiological changes, common complications, and emerging management strategies for patients with single-ventricle physiology following the Fontan procedure.
Why the study?
Patients with single-ventricle physiology after Fontan completion are dependent on passive pulmonary venous return, which has potentially devastating implications.
This review outlines the physiological changes, common complications, and emerging management strategies for patients with single-ventricle physiology following Fontan completion.
Fontan patients need vigilant monitoring for passive flow complications; leaves open optimal preventive strategies.
Single-ventricle physiology occurs in patients with hypoplastic ventricular heart defects, either on the right or left, who have undergone stepwise palliation surgeries ending with the Fontan procedure. After Fontan completion, these patients are dependent on passive venous return to the pulmonary circulation. The implications of passive flow are potentially devastating to the patient. We discuss some of the basic changes to the patient’s experience after a Fontan procedure, as well as the common complications. We also touch on some of the emerging management strategies for the common complications.
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Taranto et al. (2020) conducted a review in Single-ventricle physiology. This review discusses the physiological changes, common complications, and emerging management strategies for patients with single-ventricle physiology following the Fontan procedure.
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