Fontan conversion with novel direct ablation after childbirth: Report of a case

A 38-year-old woman underwent atriopulmonary Fontan surgery at age 18 years and subsequently successfully delivered a girl by cesarean section at age 34. Her condition later deteriorated due to atrial tachyarrhythmia and progressed to New York Heart Association (NYHA) class IV heart failure. Her tre...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2011-12, Vol.41 (12), p.1684-1688
Main Authors: Ozawa, Tsukasa, Fujii, Takeshiro, Shiono, Noritsugu, Hamada, Satoshi, Masuhara, Hiroshi, Hara, Masanori, Sasaki, Yuki, Katayanagi, Tomoyuki, Yoshihara, Katsunori, Okano, Yoshifumi, Takatsuki, Shinichi, Saji, Tsutomu, Koyama, Nobuya, Watanabe, Yoshinori
Format: Article
Language:English
Subjects:
Adult
Case Report
Catheter Ablation
Female
Fontan Procedure
Heart Atria - surgery
Heart Bypass, Right
Heart Defects, Congenital - surgery
Heart Failure - classification
Heart Failure - etiology
Heart Failure - surgery
Humans
Medicine
Medicine & Public Health
Pacemaker, Artificial
Parturition
Pregnancy
Surgery
Surgical Oncology
Tachycardia - etiology
Tachycardia - surgery
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Summary:A 38-year-old woman underwent atriopulmonary Fontan surgery at age 18 years and subsequently successfully delivered a girl by cesarean section at age 34. Her condition later deteriorated due to atrial tachyarrhythmia and progressed to New York Heart Association (NYHA) class IV heart failure. Her treatment, at age 36, comprised total cavopulmonary connection conversion, direct right atrial ablation with bipolar radiofrequency devices, the creation of an atrial septal defect, and placement of a dual-chamber permanent pacemaker. Three years after the conversion, her condition has improved to NYHA class I.
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-011-4560-9