Abstract
The modern Fontan palliation directs systemic venous blood from the superior and inferior vena cava to the pulmonary arteries, bypassing the heart. Its success depends on low pulmonary vascular resistance and optimal systolic and diastolic ventricular function.1,2 Diastolic dysfunction in Fontan circulation is a well-known phenomenon, but its clinical impact remains underappreciated. Assessment of diastolic dysfunction in Fontan patients is challenging but might be enhanced by novel, advanced imaging techniques.
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