Fontan Palliation of Single Ventricle Physiology (Including Tricuspid Atresia and Double Inlet Left Ventricle) S4.4.2-1. Khairy P, Fernandes SM, Mayer JE Jr, et al. Long-term survival, modes of death, and predictors of mortality in patients with Fontan surgery. Circulation. 2008;117:85 92. S4.4.2-2. Gatzoulis MA, Munk MD, Williams WG, et al. Definitive palliation with cavopulmonary or aortopulmonary shunts for adults with single ventricle physiology. Heart. 2000;83:51 7. S4.4.2-3. Cordina R, O Meagher S, Gould H, et al. Skeletal muscle abnor- malities and exercise capacity in adults with a Fontan circulation. Heart. 2013;99:1530 4. S4.4.2-4. Dulfer K, Duppen N, Blom NA, et al. Effects of exercise training on behavioral and emotional problems in adolescents with tetralogy of Fallot or a Fontan circulation: a randomized controlled trial. Int J Cardiol. 2014;172:e425 7. S4.4.2-5. Inai K, Saita Y, Takeda S, et al. Skeletal muscle hemodynamics and endothelial function in patients after Fontan operation. Am J Cardiol. 2004;93:792 7. S4.4.2-6. Kiesewetter CH, Sheron N, Vettukattill JJ, et al. Hepatic changes in the failing Fontan circulation. Heart. 2007;93:579 84. S4.4.2-7. Seddio F, Gorislavets N, Iacovoni A, et al. Is heart transplantation for complex congenital heart disease a good option? A 25-year single centre experience. Eur J Cardiothorac Surg. 2013;43: 605 11. S4.4.2-8. Hebson CL, McCabe NM, Elder RW, et al. Hemodynamic pheno- type of the failing Fontan in an adult population. Am J Cardiol. 2013;112:1943 7. S4.4.2-9. Davies RR, Sorabella RA, Yang J, et al. Outcomes after transplan- tation for failed Fontan: a single-institution experience. J Thorac Cardiovasc Surg. 2012;143:1183 92, e4. S4.4.2-10. Gamba A, Merlo M, Fiocchi R, et al. Heart transplantation in patients with previous Fontan operations. J Thorac Cardiovasc Surg. 2004;127:555 62. S4.4.2-11. Jayakumar KA, Addonizio LJ, Kichuk-Chrisant MR, et al. Cardiac transplantation after the Fontan or Glenn procedure. J Am Coll Cardiol. 