Fontan circulation causes early, severe liver damage. Should we offer patients a tailored strategy?

Background In patients with Fontan circulation, the liver is profoundly affected by chronic venous stasis. Little is known about early hepatic changes in this population. Methods We performed echocardiography, abdominal ultrasound, liver elastography, cardiac catheterization, esophago-gastro-duodenoscopy and calculated MELD-XI score in 64 Fontan patients (69% minors), at an interval of 1–15 years since Fontan. Results Cardiac output remained...