All study images were reviewed and interpreted by a single investigator with expertise in congenital CMR imaging. Institutional post-processing software (Qmass MR and Qflow, Medis) was utilized for off-line image analysis. Contouring of the single ventricle at end-systole and end-diastole was performed to quantify ventricular volumes and calculation of ejection fraction as a measure of global systolic function. Additional off-line processing of horizontal longaxis tissue strain and strain rate was performed using CVI 42 Tissue Tracking software (Circle Cardiovascular Imaging, Calgary, Canada) for further characterization of myocardial mechanics [24 (link), 25 (link)].