Fontan Conversion with Arrhythmia Surgery in a Jehovah's Witnesses.
- Author:
Jae Wook RYU
1
;
Woong Han KIM
;
Chan Young NA
;
Sam Se OH
;
Soo Cheol KIM
;
Cheong LIM
;
Man Jong BAEK
;
Joon Hyuk KONG
;
Jae Young LEE
;
Young Kwan PARK
;
Chong Hwan KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Korea. woonghan@korea.com
- Publication Type:Case Report
- Keywords:
Fotan operation;
Arrhythmia surgery;
Arrhythmia surgery;
Jehovah's Witnesses
- MeSH:
Arrhythmias, Cardiac*;
Blood Transfusion;
Cryosurgery;
Humans;
Jehovah's Witnesses*;
Parents;
Tachycardia;
Tachycardia, Ectopic Atrial;
Tricuspid Atresia;
Ventricular Dysfunction
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2002;35(1):48-51
- CountryRepublic of Korea
- Language:Korean
-
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.
