Abstract | OBJECTIVE: METHODS: Fifteen patients (mean age 25.0 +/- 8.4 years) underwent extracardiac Fontan conversion, cryoablation, and pacemaker placement between November 1999 and December 2004. Twelve patients were in NYHA class III and three were in NYHA class IV. Twelve had clinically important intraatrial reentry tachycardia refractory to medical therapy. RESULTS: Follow-up was between 2 and 62 months (mean 38.4 +/- 17.7). One death occurred at seven days after surgery due to sepsis and multisystem organ failure. The second death occurred at five days from myocardial depression following surgery. One patient with PLE preoperatively died to malnutrition and sepsis on POD number 52. The second patient with protein losing enteropathy had improved NYHA classification, cessation of albumin transfusions, and a normal stool alpha antitrypsin level (down from 4.1 mg/g preoperatively). All surviving patients improved NYHA classification to class I or II. Sustained arrhythmias could not be induced in any patient. One patient had recurrence of intraatrial reentrant tachycardia eleven months postoperatively that required electrical cardioversion and is currently well controlled on one medication. The other patients are not on any antiarrhythmic medical therapy. CONCLUSION:
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Authors | Samuel Weinstein, David Chan |
Journal | Seminars in thoracic and cardiovascular surgery
(Semin Thorac Cardiovasc Surg)
Vol. 17
Issue 2
Pg. 170-8
( 2005)
ISSN: 1043-0679 [Print] United States |
PMID | 16087088
(Publication Type: Journal Article, Review)
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Topics |
- Arrhythmias, Cardiac
(etiology, therapy)
- Cryosurgery
- Electric Countershock
- Fontan Procedure
(adverse effects)
- Heart Defects, Congenital
(complications, therapy)
- Humans
- Pacemaker, Artificial
- United States
(epidemiology)
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