Korean J Thorac Cardiovasc Surg.
2002 Jan;35(1):48-51.
Fontan Conversion with Arrhythmia Surgery in a Jehovah's Witnesses
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Korea. woonghan@korea.com
- 2Department of Sejong Heart Institute, Sejong General Hospital, Bucheon, Korea.
- 3Department of Pediatrics, Sejong General Hospital, Bucheon, Korea.
Abstract
- The conversion of failing Fontan circuit to total cavopulmonary connection(TCPC) is recommended as a therapeutic option in patients with late Fontan complications such as atrial arrhythmia, atrial enlargement, pulmonary venous obstruction, and ventricular dysfunction. Combined TCPC with extracardiac conduit and cryoablation of arrhythmia circuit is preferred for treatment of failing Fontan connection with atrial tachyarrhythmia. We report a case of conversion of atriopulmonary connection to extracardiac conduit Fontan and cryoablation of atrial arrhythmia circuit in a patient with tricuspid atresia, who also had ectopic atrial tachycardia, right atrial thrombi, pulmonary venous obstruction, and ventricular dysfunction. This patient and the parents were Jehovah's Witnesses; therefore, the patient underwent the procedure without blood transfusion.
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