Front Matter

Pages i-x

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The Univentricular Heart: Past, Present and Future

• Michael L. Rigby

Pages 1-6

Anatomy and Epidemiology of the Functionally Univentricular Heart

1. Front Matter

   Pages 7-7

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2. The Anatomical Substrates of the Univentricular Heart

   • Marny Fedrigo, Mariavittoria Vescovo, Carla Frescura, Gaetano Thiene, Annalisa Angelini

   Pages 9-30

3. Epidemiology of Univentricular Hearts

   • Andrew Constantine, Paul Clift

   Pages 31-33

Management of the Fetus and Neonate with a Univentricular Heart

1. Front Matter

   Pages 35-35

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2. Prenatal Diagnosis of the Functionally Univentricular Heart

   • Anna Seale, Lindsey Hunter

   Pages 37-49

3. Postnatal Management and Pre-Operative Assessment of the Univentricular Patient

   • Shree Vishna Rasiah, Michael John Harris

   Pages 51-58

4. Imaging to Aid Decision Making in the Neonate

   • Hannah Bellsham-Revell

   Pages 59-67

5. Univentricular Heart: Decision Making in the Management of the Neonate

   • Alvise Tosoni

   Pages 69-79

6. Catheter Interventions in the Initial Palliation of Univentricular Hearts

   • Chetan Mehta, Oliver Stumper

   Pages 81-86

7. Comfort Care in Patients with a Single Ventricle

   • Carolina Perez, Joanna Laddie, Hannah Bellsham Revell

   Pages 87-91

Surgical Management

1. Front Matter

   Pages 93-93

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2. History of the Fontan Surgical Procedure

   • Paul Clift

   Pages 95-97

3. Early Modifications of Fontan Surgery and Evolution of the Total Cavo-Pulmonary Connection (TCPC)

   • Phil Botha

   Pages 99-104

4. Staged Approach to Total Cavo-Pulmonary Connection

   • Matteo Ponzoni, Massimo A. Padalino

   Pages 105-115

5. Classical Norwood Stage I and Modifications

   • Phil Botha

   Pages 117-122

6. Hybrid Strategies for Hypoplastic Left Heart Syndrome and Comprehensive Stage II Repair

   • Alvise Guariento, Vladimiro L. Vida

   Pages 123-127

The Fontan Physiology

1. Front Matter

   Pages 129-129

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2. Determinants of Cardiac Output and Exercise Tolerance in the Fontan Circulation

   • Pradeepkumar Charla, Adam W. Powell, Gruschen R. Veldtman

   Pages 131-139

3. Follow Up in Childhood of Fontan Patients

   1. Front Matter

      Pages 141-141

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   2. Neuro-developmental Outcomes of Fontan Patients

      • Paola Cogo, Massimo A. Padalino, Elisa Cainelli, Giovanni Di Salvo, Patrizia Bisiacchi

      Pages 143-149

   3. Follow-Up in Childhood of Fontan Patients: Quality of Life

      • Jo Wray, Rodney Franklin, Suzie Hutchinson

      Pages 151-160

   4. Anticoagulation Strategies in the Single Ventricle

      • Isma Rafiq, Andrew Constantine, Konstantinos Dimopoulos

      Pages 161-168

   5. Electrophysiology Considerations After the Fontan Operation

      • Jeremy P. Moore

      Pages 169-176

   6. Managing the Pulmonary Circulation

      • Andrew Constantine, Paul Clift

      Pages 177-184

   7. Fontan Failure in Children and Cardiac Transplantation

      • Milind Chaudhari

      Pages 185-194

4. Transition, Education and Lifestyle

   1. Front Matter

      Pages 195-195

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   2. Transition to Adult Life

      • Danielle Massarella, Rachel Wald, Lorna Swan, Rafael Alonso-Gonzalez

      Pages 197-202

5. Follow Up in Adult Life

   1. Front Matter

      Pages 203-203

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   2. Considerations When Developing a Multidisciplinary Adult Fontan Clinic

      • Adam M. Lubert, Tarek Alsaied, Alexander R. Opotowsky

      Pages 205-211

   3. Echocardiography and the Adult Fontan Patient

      • Flavia Fusco, Wei Li

      Pages 213-220

   4. Cardiac MRI Imaging in the Fontan Patient

      • Paul Clift, Lucy Hudsmith, Ben Holloway

      Pages 221-229

   5. CT in Patients with Univentricular Hearts and a Fontan Circulation

      • Tom Semple, Konstantinos Dimopoulos

      Pages 231-237

   6. Physiological Testing and Basics of Cardiac Catheterisation in Fontan Patients

      • A. Constantine, Konstantinos Dimopoulos

      Pages 239-251

   7. Fontan Patients: Psychological Support in Adult Life

      • Lidija McGrath, Andra Eldridge, Abigail Khan, Craig Broberg

      Pages 253-257

   8. Pregnancy with an Univentricular Heart

      • Dominica Zentner, Sara Thorne

      Pages 259-271

   9. Factors Impacting on the Late Outcome of the Fontan Circulation

      • Paul Clift

      Pages 273-280

6. A Multi-system Disorder

   1. Front Matter

      Pages 281-281

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   2. Electrophysiology Considerations and Management of Arrhythmias After the Fontan Operation

      • Sabine Ernst, Jeremy P. Moore

      Pages 283-293

   3. 1. A Multi-system Disorder: Extracardiac Complications

         • Rachael L. Cordina, David S. Celermajer

         Pages 295-305

   4. The Failing Adult Fontan Patient

      1. Front Matter

         Pages 307-307

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      2. The Failing Adult Fontan Patient

         • Andrew Constantine, Isma Rafiq, Paul Clift, Konstantinos Dimopoulos

         Pages 309-326

      3. Catheter-Based Interventions in Adult Life for the Failing Adult Fontan Patient

         • Jamil Aboulhosn, Weiyi Tan

         Pages 327-336

      4. Surgical Interventions in Adult Fontan and Transplantation

         • Phil Botha, Milind Chaudhari

         Pages 337-345

      5. Palliative Care Strategies in Adult Patients

         • Daniel Tobler

         Pages 347-351

      6. Role of Mechanical Support for Failing Single Ventricle

         • Massimo Griselli, Rebecca Ameduri

         Pages 353-356

      7. Pathological Aspects of Post-Fontan Procedures

         • Marny Fedrigo, Ilaria Barison, Massimo A. Padalino, Liliana Chemello, Giovanni di Salvo, Annalisa Angelini

         Pages 357-365

   5. Back Matter

      Pages 367-370