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Ann Thorac Surg 2006;82:e29-e30
© 2006 The Society of Thoracic Surgeons

Case Reports

Neoaortic Root Modification for Late Thrombosis After Norwood Palliation

Eric M. Graham, MDa,*, Huzaifa Shakir, MDb, Andrew M. Atz, MDa, Jeremy M. Ringewald, MDa, Scott M. Bradley, MDb

a Division of Pediatric Cardiology, Medical University of South Carolina, Charleston, South Carolina
b Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, South Carolina

Accepted for publication July 19, 2006.

* Address correspondence to Dr Graham, Division of Pediatric Cardiology, Medical University of South Carolina, 165 Ashley Ave, PO Box 250915, Charleston, SC 29425. (Email: grahamem{at}musc.edu).

A 5-year-old child with hypoplastic left heart syndrome presented with myocardial infarction 2 years after Fontan completion. Evaluation identified a thrombus in his native aortic root. Retrospective review of a prior catheterization revealed stasis in the native aortic root. Surgical thrombectomy was performed after failed medical management. The neoaortic root was revised at the time of thrombectomy in an attempt to reduce stasis in the native aortic root. This case suggests the need to identify anatomic findings that may predispose to coronary artery thrombus formation after Norwood palliation.




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P. Monagle, E. Chalmers, A. Chan, G. deVeber, F. Kirkham, P. Massicotte, and A. D. Michelson
Antithrombotic Therapy in Neonates and Children: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition)
Chest, June 1, 2008; 133(6_suppl): 887S - 968S.
[Abstract] [Full Text] [PDF]


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