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Netherlands Heart Journal
Published in: Netherlands Heart Journal 5/2008

01-05-2008 | case report

Recovery of atrial transport function after a maze procedure for atrial fibrillation in conversion of a failing Fontan circulation

Authors: A. J. J. C. Bogers, Ch. Kik, P. L. de Jong, F. J. Meijboom

Published in: Netherlands Heart Journal | Issue 5/2008

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Extract

Due to atrial dilatation, atrial arrhythmias are frequent after Fontan surgery for single ventricle physiology.1,2 These arrhythmias can easily evolve into life-threatening events.1 In this regard the lateral tunnel Fontan has been introduced, and Fontan constructions with an atriopulmonary or atrioventricular connection have been modified into a Fontan with a lateral tunnel or with an extracardiac conduit.3-5 These operations include surgical ablation of the atrium.5,6 Success is being reported with regard to recovery of heart rhythm, but the question remains whether or not the atrial transport function recovers. …
Literature
1.
Meijboom FJ, Bogers AJJC. De Fontan-circulatie. In: Mulder BJM, Pieper PG, Spitaels SEC. Editors. Aangeboren hartafwijkingen bij volwassenen. Houten: Bohn Stafleu van Loghum; 1999. p. 79-92.
2.
Freedom RM, Li J, Yoo S.J. Late complications following the Fontan operation. In: Gatzoulis MA, Webb GD, Daubeney PEF [editors]. Diagnosis and management of adult congenital heart disease. Edinburgh: Churchill Livingstone; 2003. p. 85-92
3.
Fontan F, Baudet E. Surgical repair of tricuspid atresia. Thorax 1971;26:240-8.
4.
de Leval MR, Kilner P, Gewillig M, Bull C. Total cavopulmonary connection: a logical alternative to atriopulmonary connection for Fontan operations. Experimental studies and early clinical experience. J Thorac Cardiovasc Surg 1988;96:682-95.
5.
Mavroudis C, Backer CL, Deal BJ, Johnsrude CL. Fontan conversion to cavopulmonary connection and arrhythmia circuit cryoablation. J Thorac Cardiovasc Surg 1998;115:547-56.
6.
Backer CL, Deal BJ, Mavroudis C, Franklin WH, Stewart RD. Conversion of the failed Fontan circulation. Cardiol Young 2006:16(suppl 1):85-91.
Metadata
Title
Recovery of atrial transport function after a maze procedure for atrial fibrillation in conversion of a failing Fontan circulation
Authors
A. J. J. C. Bogers
Ch. Kik
P. L. de Jong
F. J. Meijboom
Publication date
01-05-2008
Publisher
Bohn Stafleu van Loghum
Published in
Netherlands Heart Journal / Issue 5/2008
Print ISSN: 1568-5888
Electronic ISSN: 1876-6250
DOI
https://doi.org/10.1007/BF03086139

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