Conversion of right atrioventricular to total cavopulmonary anastomosis in the management of post-Fontan arrhythmia: report of a case.
Both the original and modified Fontan procedures are associated with several late complications such as atrial arrhythmias, thromboembolism, and right pulmonary vein compression caused by a markedly enlarged right atrium. We describe herein the case of a patient who underwent conversion of right atrioventricular to total cavopulmonary anastomosis to control atrial arrhythmia that developed 12 years after a modified Fontan operation. The procedure proved successful in alleviating his symptoms immediately. He is now doing well with no recurrence of atrial arrhythmia 1 year after the operation.
Yoshimura
N
N
Department of Cardiothoracic Surgery, Kobe Children's Hospital, Japan.
Yamaguchi
M
M
Ohashi
H
H
Oshima
Y
Y
Toyoda
Y
Y
Ogawa
K
K
D001145:Arrhythmias, Cardiac / Q000601:surgery*; D002675:Child, Preschool; D018729:Fontan Procedure; D018610:Heart Bypass, Right; D006801:Humans; D008297:Male