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Conversion of atriopulmonary to cavopulmonary anastomosis in management of late arrhythmias and atrial thrombosis.

Authors
  • Kao, J M
  • Alejos, J C
  • Grant, P W
  • Williams, R G
  • Shannon, K M
  • Laks, H
Type
Published Article
Journal
The Annals of Thoracic Surgery
Publisher
Elsevier
Publication Date
Nov 01, 1994
Volume
58
Issue
5
Pages
1510–1514
Identifiers
PMID: 7979684
Source
Medline
License
Unknown

Abstract

The original atriopulmonary connection or "classic" Fontan operation is associated with several late complications such as arrhythmias, right atrial dilatation, and thromboembolism. This report describes our experience with 3 patients who presented with the acute onset of atrial arrhythmias and upon further evaluation were found to have significant hemodynamic lesions. After failing medical management, all 3 patients were treated successfully with surgical conversion of their atriopulmonary connection to a lateral tunnel cavopulmonary Fontan. The postoperative course of these patients was uneventful. However, long-term evaluation is needed to assess the efficacy of this technique in the prevention of postoperative morbidity.

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