After the Fontan

How Fontan patients fare in the long run


The report on early and late outcome after the Fontan repair for complex congenital
heart defects like Tricuspid Atresia, Pulmonary Atresia, HLHS and Single Ventricle conditions.

This is one of the Web's most widely visited sites devoted to the Fontan operation - thanks for your support

Fontan operation information and outcome data
Easy-to-understand, reliable, practical information
about the Fontan operation

In the Fontan report, you get a taste of the uniquely readable explanations of complex heart conditions written by Dr.Sivasubramanian, a specialist heart surgeon. Dr. Sivasubramanian was Assistant Professor of Paediatric Cardiothoracic Surgery at the Institute of Child Health and Hospital for Sick Children in India, and has written extensively about birth defects of the heart. To read more of his articles on heart disease, you can visit these websites :

Heart Disease Online -
CHD Info -
Fontan Operation Homepage -

As if you didn't know ! Most doctors enjoy speaking a highly technical language, using scary medical jargon to explain things to anxious and worried parents. It adds to their aura of mystery and magic.

But not this doctor ! He believes that explanations must EXPLAIN, writings must BE READ, teaching must EDUCATE. Dr.Sivasubramanian makes things EASY TO UNDERSTAND.

But why is he doing this ? Well, frankly, it's because he, like you, believes that we are not getting our due, not being involved enough in the treatment planning and decision making about a person very very important to us - our child.

We spend a ridiculous amount of time hunting for information, researching medical journals, visiting libraries, surfing the Net, trying to take a crash course in medicine in order to make some sense out of medical literature.

Does the following passage make sense to you ...........?

"The cumulative risk for the development of protein-losing enteropathy was 13.4% (with confidence limits of 30% to 70%) among 30-day survivors, and 5-year survival decreased from 81% to 73% (p = 0.006). Hemodynamic studies done coincident with the diagnosis have shown increased systemic venous pressure, decreased cardiac index, increased pulmonary vascular resistance, and increased ventricular end-diastolic pressure."

Or does Dr.Siva's interpretation of the same ?

"One in ten early survivors of the operation run a risk of losing protein through their gut. This problem causes fewer patients to live beyond five years after surgery. These patients have raised pressure in their veins; their hearts pump weakly; their lung blood vessels resist flow of blood through them; and even when relaxed, their ventricles have a higher pressure - all these indicate poor heart activity."

Here's what Dr.Sivasubramanian himself has to say about his Fontan report:

Friday, January 22nd, 2003
9:30 p.m.

Dear Friend:

If your child, or someone you know and love, has had the Fontan operation or one of its modifications, you need more information. The report titled "After the Fontan" covers all three categories of the Fontan operation - early and late survival after the Fontan, quality of life issues and complications of a Fontan procedure.

It applies to all conditions for which a Fontan operation is done - tricuspid atresia, pulmonary atresia, HLHS, single ventricle and others. It doesn't matter why your child had a Fontan, the results explained in the report are relevant to all - and throw up many pleasant surprises !

CLICK HERE to read what others are saying about the Fontan report!

Fontan operation outcome report benefits : You're getting new, accurate and reliable information..... and saving time and trouble

You'll save time and money NOT trying to find this information elsewhere - and then save your sanity by NOT trying to decode that information ! Here's a small sample of what you'll find in the report :


  • Survival statistics upto 15 years after the Fontan operation
  • Case selection criteria for better results
  • Outcome of an "ideal" Fontan operation
  • The Philosophy behind today's accepted approach to the Fontan


  • Does the Fontan operation restore a normal quality of life ?
  • Does the Fontan operation improve quality of life ?
  • Can my child play and exercise after a Fontan operation ?
  • Will his education suffer ? Can she go to work ?
  • How many children need re-operation ? Why ?
  • My daughter had a Fontan operation; Can she become pregnant ?


  • Heart rhythm disturbances - Why ? How to prevent and treat them ?
  • PLE - Protein loss in the gut, and how to treat it
  • Clots and strokes after the Fontan
  • Narrowing of the aortic outflow
  • The Failed Fontan operation - What to do ?

There is so much more, I couldn't possibly list it all here. I've reviewed over FIFTY published medical articles and text-book chapters to write this report. What you have just read is only a small sample of the useful information you will get when you read "After the Fontan". If you truly want to learn how your loved one will fare in the long run after the Fontan operation, then you'll find this information is CRUCIAL.

The most exciting part is that you can get it all in just a few minutes ! (I will explain this in the next few paragraphs).

Fontan operation outcome report benefits : It's easy to understand !

"After the Fontan" is the result of hours of research and review, featuring 35 pages of extremely valuable information and data ! All of it is explained in a step-by-step, easy to understand, question-and-answer format. The report is one-of-a-kind and not found in bookstores - yet ! It is distributed only as an electronic version that you can download and print out and review.

And it's easy to understand. I've made an effort to see that the language is so simple it can be understood by a sixth grader !


Fontan operation outcome report benefits : Here's what others say about the report:

"Your Fontan report was well written and very easy to understand. 
Many of our family members are interested in reading it as well 
and those who have comment on the way it has been written. My 
compliments to you for writing this. I look forward to reading 
more of your articles and your new book. Thank you, Dr.."
-- Carolyn Keefe
"My wife and I found the report very useful. Our son will have the 
Fontan surgery shortly. As parents, we are particularly concerned 
over his future limitations, quality of life, etc. Your report 
helped address some of those fears........You presented the data 
in an easy  to understand manner that allowed my wife too to read
the report on her own. Thank you, Dr.Siva."
-- Randy & Kim Sittner 
I did find your report on the After the Fontan very useful and 
easy  to read. My son has not had the Fontan yet but we know it 
is in his  future and this report gives me great hope for his 
future. I don't think I'd change a thing and thank you so much 
for writing it!"
-- Teresa Dysert
"Dear Dr.Sivasubramanian
Your Fontan report was helpful. I would like to share parts of it 
with my family and friends to help them in understanding the
physiology of what has taken place." 
-- Cara Highsmith

"I've been starved for information -- you have provided me 
with the most complete and correct explanations I've found so far."
-- Kayla

"I must express my deepest appreciation for your efforts in 
aiding parents facing a difficult situation such as myself.  Our 
child has been diagnosed with tricuspid atresia. Your report is 
invaluable in helping us to understand both the short and long 
term consequences of this defect.
God bless and thanks,"
-- Julian Fleniken

"It is very informative.  We have been unable to find such 
details in any other source that we wanted to know before our 
daughter has the operation.  I believe you report answered all 
of our questions.
Thank you"
-- Jamie


CLICK HERE to read more testimonials

CLICK HERE to order now !

Fontan operation outcome report benefits : And if you don't like it or find it useful, that's no problem at all !

Order a copy now at NO RISK. What I mean is, I want you to order without feeling you might "get taken". I am a respected consultant and my reputation is on the line. Therefore, I want you to order this material today... read it, use it... and if for any reason you aren't completely satisfied, simply write and let me know why you didn't like it - and get a refund of your purchase price. No pre-conditions, no questions asked !


Fontan operation outcome report benefits : It is not expensive

This essential report is priced (as an "Internet only offer") at $39.95. And it gets better still. Whenever the report is upgraded with newer information based on more recent studies, you will get a copy of the new version - absolutely free.

The true value is not in the cost of the offer,
but in the value you will gain by having the information.

CLICK HERE to order now !

But this is what I find to be the most exciting part......

Fontan operation outcome report benefits : You can get your report RIGHT NOW !

You can receive the report and be actually learning about the Fontan operation today...... yes, that is right... WITHIN A FEW MINUTES. Within a few minutes of receiving your order we will give you access to the report. You can directly download (copy) it from my website to your computer and read it at leisure, even print out a copy to show others in your family. You can benefit from the information almost immediately.

If you have problems with this, simply e-mail us the details of your order and we'll send you a copy, along with instructions on how to easily download it from your email in case you have not received a file via email before. The report is in the form of a MS-WORD document (ZIP file 30 KB size) and an Adobe PDF version. If your computer can't read an MS-WORD document, we'll have it emailed to you in some other formats (Text, Notepad, Wordpad).

Fontan operation outcome report benefits : How do I order the report ?

I look forward to getting a letter or e-mail from you, telling me about your child's Fontan operation, and whether the information in the report was useful in helping relieve your anxiety, understanding the long term prospects and problems better, and in asking your doctor relevant questions about your child's future. Even though I get an enormous amount of mail, keep the letters coming, I love to hear your stories and unique experiences !





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- How Fontan patients fare in the long term"


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Material on this site is provided for informational purposes only. It is not meant to be a substitute for professional medical advice. The information should not be used to diagnose or treat a health problem, disease, or to prescribe any medication. In case of doubt, promptly contact your health care provider.

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