Management of Fontan failure

Mortality and morbidity after combined heart and liver transplantation in the failing Fontan: An updated dual center retrospective study

“…7 Additionally, a Fontan cardio-renal syndrome also likely results from these same phenomena. 8 Thus, the adult Fontan patient, subjected to these potential accumulated derangements over many years, may be particular vulnerable to the challenges imposed by combined heart and liver transplant.…”

“…Resulting from a combination of liver congestion from elevated central venous pressure and low cardiac output, FALD is now well described 7 . Additionally, a Fontan cardio‐renal syndrome also likely results from these same phenomena 8 . Thus, the adult Fontan patient, subjected to these potential accumulated derangements over many years, may be particular vulnerable to the challenges imposed by combined heart and liver transplant.…”

Heartbeat: sex-specific cardiac microstructural changes in patients with heart failure

“…The Education in Heart article in this issue8 addresses management of patients with adult congenital heart disease and a ‘failing’ conduit directly from the systemic venous return to the pulmonary circulation without an intervening ventricle (eg, Fontan physiology). Patients with this palliative procedure have complex underlying congenital heart disease including tricuspid atresia and other types of single ventricle physiology.…”