Contemporary Management of the Failing Fontan Article Swipe

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Medicine Fontan procedure Cardiology Heart failure Protein losing enteropathy Heart disease Internal medicine Atrioventricular valve Regurgitation (circulation) Tetralogy of Fallot Thrombosis Disease Intensive care medicine Enteropathy Surgery Ventricle

Prashanth Venkatesh , Hans Gao , Islam Abudayyeh , Ramdas G. Pai , Padmini Varadarajan ·

YOU? · · 2024 · Open Access · · DOI: https://doi.org/10.3390/jcm13113049 · OA: W4398325828

Adult patients with congenital heart disease have now surpassed the pediatric population due to advances in surgery and improved survival. One such complex congenital heart disease seen in adult patients is the Fontan circulation. These patients have complex physiology and are at risk for several complications, including thrombosis of the Fontan pathway, pulmonary vascular disease, heart failure, atrial arrhythmias, atrioventricular valve regurgitation, and protein-losing enteropathy. This review discusses the commonly encountered phenotypes of Fontan circulatory failure and their contemporary management.