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Ann Thorac Surg 1996;62:583-585
© 1996 The Society of Thoracic Surgeons

Case Report

Successful Management of Junctional Tachycardia by Hypothermia After a Fontan Operation

Toshihide Asou, MD, Hideaki Kado, MD, Yuichi Shiokawa, MD, Kouji Fukae, MD, Hisataka Yasui, MD

Department of Cardiovascular Surgery, Fukuoka Children's Hospital, Fukuoka, Japan

Accepted for publication March 13, 1996.

We report herein the findings of a 2-year-old boy in whom junctional tachycardia developed 2 days after he underwent a modified Fontan operation and thereafter was successfully treated by hypothermia without paralyzing and artificially ventilating the patient. Chlorpromazine was useful in achieving moderate hypothermia by surface cooling without producing any unfavorable effects associated with topical cooling.




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