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Ann Thorac Surg 1986;42:664-667
© 1986 The Society of Thoracic Surgeons
From the Departments of Cardiovascular Surgery, The Montreal Children's Hospital, Montreal, Quebec, and The Hospital for Sick Children, Toronto, Ontario, Canada
Accepted for publication February 3, 1986.
* Address reprint requests to Dr. Dobell, Room C-827, 2300 Tupper St, Montreal, Quebec H3H 1P3 Canada
This report documents four instances of right atrial thrombi discovered from four days to five years after Fontan-type operations. Two of the thrombi were removed at reoperation, and two diminished in size during anticoagulation therapy. There were no pulmonary emboli in this small series, but the ominous implications of right atrial thrombi in the post-Fontan situation are obvious. For this reason we recommend (1) regular echocardiographic surveillance of all patients who have had the Fontan operation and (2) anticoagulation in certain situations.
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