title: Fontan conversion with novel direct ablation after childbirth: report of a case.
abstract: A 38-year-old woman underwent atriopulmonary Fontan surgery at age 18 years and subsequently successfully delivered a girl by cesarean section at age 34. Her condition later deteriorated due to atrial tachyarrhythmia and progressed to New York Heart Association (NYHA) class IV heart failure. Her treatment, at age 36, comprised total cavopulmonary connection conversion, direct right atrial ablation with bipolar radiofrequency devices, the creation of an atrial septal defect, and placement of a dual-chamber permanent pacemaker. Three years after the conversion, her condition has improved to NYHA class I.
authors.affiliation: Department of Cardiovascular Surgery, Toho University Omori Medical Center, 6-11-1 Omori-nishi, Ota-ku, Tokyo, 143-8541, Japan.
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Ozawa
authors.forename: Takeshiro
authors.initials: T
authors.lastname: Fujii
authors.forename: Noritsugu
authors.initials: N
authors.lastname: Shiono
authors.forename: Satoshi
authors.initials: S
authors.lastname: Hamada
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Masuhara
authors.forename: Masanori
authors.initials: M
authors.lastname: Hara
authors.forename: Yuki
authors.initials: Y
authors.lastname: Sasaki
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Katayanagi
authors.forename: Katsunori
authors.initials: K
authors.lastname: Yoshihara
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Okano
authors.forename: Shinichi
authors.initials: S
authors.lastname: Takatsuki
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Saji
authors.forename: Nobuya
authors.initials: N
authors.lastname: Koyama
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Watanabe
mesh_terms: D000328:Adult; D017115:Catheter Ablation; D005260:Female; D018729:Fontan Procedure; D006325:Heart Atria / Q000601:surgery*; D018610:Heart Bypass, Right; D006330:Heart Defects, Congenital / Q000601:surgery; D006333:Heart Failure / Q000145:classification / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010138:Pacemaker, Artificial; D036801:Parturition; D011247:Pregnancy; D013610:Tachycardia / Q000209:etiology / Q000601:surgery