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Subsequently, a bidirectional cavopulmonary anastomosis or the Glenn procedure is performed at 4–6 months of age, with the final stage being the Fontan procedure at 16–18 months that enables the right ventricle (RV) as the primary pump to compensate for the underdeveloped LV.[8] The advancements in multi-stage surgical management have enhanced survivability in HLHS patients from 0% to 56% in term infants,[9] but these result in complications such as cardiac scarring, arrhythmias, thromboembolisms, and a progressive decline in functional status
