1. Transplantation of the failing Fontan
- Author
-
Kurt R. Schumacher and Amanda D. McCormick
- Subjects
Heart transplantation ,medicine.medical_specialty ,congenital, hereditary, and neonatal diseases and abnormalities ,business.industry ,medicine.medical_treatment ,Review Article ,030204 cardiovascular system & hematology ,Surgery ,Transplantation ,03 medical and health sciences ,0302 clinical medicine ,surgical procedures, operative ,Pediatrics, Perinatology and Child Health ,medicine ,cardiovascular system ,030212 general & internal medicine ,Fontan failure ,cardiovascular diseases ,business ,human activities - Abstract
Half a century has passed since the original Fontan palliation. In the interim, surgical and medical advancements have allowed more single ventricle patients to reach Fontan and long-term survival for Fontan patients to improve significantly. However, the risk for Fontan failure and need for heart transplantation remains. In this article we discuss mechanisms of Fontan failure, risk factors and special considerations for Fontan patients in both medical and surgical management around heart transplantation and provide an updated review of survival for Fontan patients after heart transplantation.
- Published
- 2019