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The Annals of Thoracic Surgery, Vol 58, 1510-1514, Copyright © 1994 by The Society of Thoracic Surgeons
JM Kao, JC Alejos, PW Grant, RG Williams, KM Shannon and H Laks
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.
ARTICLES
Conversion of atriopulmonary to cavopulmonary anastomosis in management of late arrhythmias and atrial thrombosis
Department of Surgery, University of California, Los Angeles Medical Center 90024.
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