Right atrial thrombosis: Rare complication of the modified Fontan procedure
- 1 December 1986
- journal article
- case report
- Published by Springer Nature in Pediatric Cardiology
- Vol. 7 (4) , 209-212
- https://doi.org/10.1007/bf02093182
Abstract
A four-year-old boy with DORV and hypoplastic left ventricle underwent a modified Fontan procedure. He had a very difficult postoperative course complicated by continued pleural effusions. Eventually he died during a last ditch effort to ligate the thoracic duct at the right diaphragm. At autopsy, an obstructing giant thrombus was found in the right atrium. This rare complication probably was due to multiple factors, but we now anticoagulate all Fontan patients routinely in an effort to prevent this fatal problem.Keywords
This publication has 16 references indexed in Scilit:
- Pulmonary artery thrombosis associated with anomalous pulmonary venous connection: An unusual complication following the modified Fontan procedureThe Journal of Thoracic and Cardiovascular Surgery, 1985
- Experience with the Fontan procedureThe Journal of Thoracic and Cardiovascular Surgery, 1984
- Surgical management of occluded conduits after the Fontan operation in patients with Glenn shuntsThe Journal of Thoracic and Cardiovascular Surgery, 1984
- The Fontan procedure in the absence of the interatrial septum. Failure of its principle?1983
- The Fontan procedure in the absence of the interatrial septumThe Journal of Thoracic and Cardiovascular Surgery, 1983
- Repair of tricuspid atresia in 100 patientsThe Journal of Thoracic and Cardiovascular Surgery, 1983
- Experimental evaluation of atrial function in right atrium-pulmonary artery conduit operation for tricuspid atresiaThe Journal of Thoracic and Cardiovascular Surgery, 1981
- Modified Fontan operation for univentricular heart and complicated congenital lesionsThe Journal of Thoracic and Cardiovascular Surgery, 1979
- An operation for the correction of tricuspid atresiaThe Journal of Thoracic and Cardiovascular Surgery, 1973