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Conversion of very complex congenital heart anatomy, such as hypoplastic left heart syndrome, double-outlet right ventricle or double-inlet left ventricle, to a single ventricle has grown in popularity as morbidity and mortality have improved. As these patients grow, survivors are at risk for impaired ventricular dysfunction, plastic bronchitis, protein-losing enteropathy and late failure. Late failing Fontan patients represent a particularly vexing scenario for clinicians, as the only durable treatment option is cardiac transplantation. However, in the short-term, some of these patients require support beyond medical management, with mechanical circulatory support via extracorporeal life support or a ventricular assist device. We report the successful bridge of an adolescent female post-Fontan conversion with late severe cardiac failure. The patient was initially resuscitated with extracorporeal life support, transitioned to a single Berlin Heart EXCOR\u00ae ventricular assist device and, subsequently, underwent successful cardiac transplantation.<\/jats:p>","DOI":"10.1177\/0267659113495913","type":"journal-article","created":{"date-parts":[[2013,7,11]],"date-time":"2013-07-11T00:52:38Z","timestamp":1373503958000},"page":"89-93","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["The failing Fontan: what\u2019s NEXT\u2026?"],"prefix":"10.1177","volume":"29","author":[{"given":"DB","family":"Sanders","sequence":"first","affiliation":[{"name":"Scott and Laura Eller Congenital Heart Center, St. Joseph\u2019s Hospital and Medical Center, Phoenix, AZ, USA"},{"name":"Children\u2019s Heart Center, Phoenix Children\u2019s Hospital, Phoenix, AZ, 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