Fontan-associated Liver Disease and Transplantation

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  • Sakamoto Ichiro
    Sakamoto Heart Clinic Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University
  • Ishikita Ayako
    Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University
  • Tanaka Masatake
    Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University
  • Yamamura Kenichiro
    Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University

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Other Title
  • FALDと移植医療
  • FALD ト イショク イリョウ

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Description

<p>Fontan circulation causes Fontan-associated liver disease, but it is a crucial strategy that needs to be implemented in patients with functional single ventricle. Combined heart-liver transplantation has been performed in patients with Fontan circulation in other countries, with better long-term results being observed than heart transplantation. However, it is not feasible in Japan, where there is a donor shortage for heart transplantation. As an adult congenital heart disease specialist, I would like to discuss with hepatologists the possibility of liver transplantation for patients after Fontan operation.</p>

Journal

  • Kanzo

    Kanzo 66 (8), 346-348, 2025-08-01

    The Japan Society of Hepatology

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