 Methods: A long-term randomized clinical study that will include 60 patients between 12 and 30 years, submitted to total cavopulmonary connection for at least 5 years post operative at the Heart Institute, University of São Paulo Medical School. The patients will be divided into four groups: 1 Exercise training with aerobic exercise lower and upper limb strength exercise GTF-I; 2 Respiratory training with respiratory muscle exercise GTF-II; 3 Exercise training with aerobic exercise lower and upper limb strength exercise Respiratory training with respiratory muscle exercise GTF-III; and A non-exercise group as control group GNTF-IV. The patients will be revaluated after the 4-month period of intervention. 