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Chapter 30 - Failing Fontan
from Section 5 - Single-Ventricle Physiology
- By Maricarmen Roche Rodriguez, Viviane G. Nasr
Edited by Laura K. Berenstain, James P. Spaeth
Book:

Congenital Cardiac Anesthesia

Published online:

09 September 2021

Print publication:

16 September 2021, pp 226-238
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Summary

The Fontan procedure has been adapted as a palliation for a variety of congenital heart diseases that result in single-ventricle physiology. Complications after Fontan palliation are common and include exercise intolerance, hepatomegaly, lymphatic dysfunction with protein losing enteropathy, ventricular dysfunction, and rhythm and conduction disturbances. Patients with Fontan circulation are experiencing improved long-term outcomes and longer life expectancy and hence present more often for noncardiac surgery. A comprehensive understanding of the Fontan circulation is required in order to provide safe care to both well-functioning and failing Fontan patients in the perioperative period.