The Fontan Operation: Is Timing Everything?

Since the introduction of the Fontan operation over 4 decades ago, surgical and medical management strategies have evolved to improve outcomes and give hope to the patients with complex single ventricle anomalies. Unfortunately, along with these new treatment successes, another group of problems has become more evident stimulating us to rethink our current management with a new focus on long-term outcomes and quality of life. The primary...