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Although initially described for the palliation of tricuspid valve atresia, the Fontan operation is now utilized for many other univentricular heart defects involving either hypoplastic right or left ventricles, and the number of babies who survive the surgery and the postsurgical hospitalization continues to grow. Echocardiography constitutes the mainstay follow\u2010up imaging modality for patients with a Fontan system. In order to obtain all the needed information from the echocardiographic studies, close familiarity with the native congenital heart defects, the build of the Fontan systems, and the potential long\u2010term complications is required. Detailed studies provide valuable information on the various components of the Fontan circulation such as the function of the single ventricle and the valves, flow in the Glenn and Fontan pathways, and possible sources of cyanosis and shunts. Three\u2010dimensional and transesophageal echocardiogram studies can assist in delineating the Fontan anatomy and to evaluate smaller intracardiac structures.<\/jats:p>","DOI":"10.1111\/echo.14421","type":"journal-article","created":{"date-parts":[[2019,6,27]],"date-time":"2019-06-27T14:12:59Z","timestamp":1561644779000},"page":"1381-1390","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Echocardiographic evaluation of univentricular physiology and cavopulmonary shunts"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0975-7363","authenticated-orcid":false,"given":"Jonathan","family":"Buber","sequence":"first","affiliation":[{"name":"Division of Cardiology Department of Medicine University of Washington School of Medicine Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca 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