Systemic thromboembolism leading to myocardial infarction and stroke after fenestrated total cavopulmonary connection.
Open Access
- 1 May 1995
- Vol. 73 (5) , 483-485
- https://doi.org/10.1136/hrt.73.5.483
Abstract
Thromboembolic phenomena involving the caval veins, right atrium, and pulmonary artery are recognised complications after the Fontan operation and other forms of total cavopulmonary connection. A rare case of systemic thromboembolism is reported in a 3 year old girl who had repeated coronary and cerebral thromboembolic events after a fenestrated total cavopulmonary shunt operation. A survey of the 18 paediatric cardiac units in the United Kingdom and Ireland showed a wide discrepancy in anticoagulation policies after Fontan-type operations. Prevention of thrombotic complications by lifelong postoperative anticoagulation may outweigh the risk of haemorrhage.Keywords
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