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Fontan conversion with arrhythmia surgery

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dc.contributor.authorKim, Woong-Han-
dc.contributor.authorLim, Hong Gook-
dc.contributor.authorLee, Jeong Ryul-
dc.contributor.authorRho, Joon Ryang-
dc.contributor.authorBae, Eun Jung-
dc.contributor.authorNoh, Chung Il-
dc.contributor.authorYoon, Yong Soo-
dc.contributor.authorKim, Yong Jin-
dc.date.accessioned2010-01-08T08:05:20Z-
dc.date.available2010-01-08T08:05:20Z-
dc.date.issued2005-02-05-
dc.identifier.citationEur J Cardiothorac Surg. 2005 Feb;27(2):250-7.en
dc.identifier.issn1010-7940 (Print)-
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15691678-
dc.identifier.urihttps://hdl.handle.net/10371/29022-
dc.description.abstractOBJECTIVE: Hemodynamic abnormalities and refractory atrial arrhythmias in patients late after the Fontan operation result in significant morbidity and mortality. We reviewed our experience with Fontan conversion and concomitant arrhythmia surgery. METHODS: Between January 1996 and February 2004, 16 patients underwent Fontan conversion and arrhythmia surgery. Mean age at the initial Fontan operation was 5.1+/-3.5 (range: 2-15) years and mean age at Fontan conversion was 17.0+/-5.8 (range: 6-30). The initial Fontan operations were atriopulmonary connections in 14 patients, extracardiac lateral tunnel in 1, and intracardiac lateral tunnel in 1. The types of arrhythmia included atrial flutter in 10 patients and atrial fibrillation in 3. Fontan conversion operation was performed with intracardiac lateral tunnel in 5 patients and extracardiac conduit in 11. Arrhythmia surgery included isthmus cryoablation in 10 patients and right-sided maze in 3. RESULTS: There has been no mortality. At Fontan conversion operation, 7 patients required permanent pacemaker. All patients have improved to New York Heart Association class I or II. With a mean follow-up of 26.9+/-30.6 (range:1-87) months, 16 patients had sinus rhythm, 2 patients had transient atrial flutter which was well controlled, and 2 patients required permanent pacemaker during follow-up. CONCLUSIONS: Fontan conversion with concomitant arrhythmia surgery and permanent pacemaker placement is safe, improves New York Heart Association functional class, and has a low incidence of recurrent arrhythmias. In most patients, concomitant permanent pacemakers are needed.en
dc.language.isoenen
dc.publisherElsevieren
dc.subjectAdolescenten
dc.subjectAdulten
dc.subjectArrhythmias, Cardiac/etiology/mortality/*surgeryen
dc.subjectAtrial Flutter/etiology/mortality/surgeryen
dc.subjectChilden
dc.subjectChild, Preschoolen
dc.subjectFemaleen
dc.subjectFontan Procedure/*methodsen
dc.subjectHeart Atria/physiopathologyen
dc.subjectHeart Defects, Congenital/complications/mortality/*surgeryen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectPacemaker, Artificialen
dc.subjectPostoperative Complications/etiologyen
dc.subjectProtein-Losing Enteropathies/complications/surgeryen
dc.subjectPulmonary Embolism/complications/surgeryen
dc.subjectReoperationen
dc.subjectTreatment Outcomeen
dc.titleFontan conversion with arrhythmia surgeryen
dc.typeArticleen
dc.contributor.AlternativeAuthor김웅한-
dc.contributor.AlternativeAuthor임홍국-
dc.contributor.AlternativeAuthor이정렬-
dc.contributor.AlternativeAuthor노준량-
dc.contributor.AlternativeAuthor배은정-
dc.contributor.AlternativeAuthor노정일-
dc.contributor.AlternativeAuthor윤용수-
dc.contributor.AlternativeAuthor김용진-
dc.identifier.doi10.1016/j.ejcts.2004.10.059-
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