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Ann Thorac Surg 1999;68:1845-1848
© 1999 The Society of Thoracic Surgeons

Case Reports

The failing Fontan with atrial flutter: a successful surgical option

Fumikazu Nomura, MDa, Kirsten Finucane, FRCSa, Warren Smith, FRCSb, Alan R. Kerr, FRACSa

a Cardiothoracic Surgical Unit, Green Lane Hospital, Auckland, New Zealand
b Department of Cardiology, Green Lane Hospital, Auckland, New Zealand

Address reprint requests to Dr Kerr, Cardiothoracic Surgical Unit, Green Lane Hospital, Green Lane West, Auckland 3, New Zealand;
e-mail: fnomura{at}kure-nh.go.jp

Two successful cases of eliminated atrial flutter and improved clinical status for Fontan patients are presented. An operation combining introduction of an extracardiac conduit for the Fontan connection, to direct all systemic venous blood away from the atrium, and atrial pathway division and cryoablation, is a useful surgical option for failing Fontan patients.


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