Without evaluating your son, I cannot say if it is safe for him to ride horseback. I do not know his anatomy, saturation, or exercise tolerance at this point, nor do I know his neurologic status, nor do I know what kind of riding he will be doing. For the most common type of patient with HLHS who has had a Fontan, has had no significant complications, has had reasonable exercise testing, and has had no activity-associated arrhythmias or evidence of congestive heart failure, horseback riding is probably fine. It does take a lot of physical strength and stamina to ride. I would recommend discussing this with his pediatric cardiologist who knows him best.
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