Management of the bad atrioventricular valve in Fontan…time for a change

Successful long-term outcome following Fontan procedure depends largely on a competent atrioventricular valve. Contemporary valvuloplasty techniques have evolved for different pathologies and have improved durability. The timing of and threshold for valve repair may be the most important factor to be considered, with earlier intervention being applied for lesser degrees of regurgitation and before the Fontan procedure is completed. In selected...