| Compression of an extracardiac fontan following classic fontan revision. | |
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MedLine Citation:
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PMID: 15151656 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The extracardiac Fontan arose as an alternative in order to prevent the classical procedure's sequelea. Complications of the extracardiac Fontan have been described, but this case report aims to highlight the devastating and infrequent complication of external conduit compression. METHODS AND RESULTS: A 25-year-old male underwent Fontan conversion to extracardiac Fontan for atrial arrhythmias and giant right atrium. He developed postoperative respiratory distress, renal failure, and hemorrhagic pancreatitis, which prompted CT scans of his chest and abdomen that demonstrated external compression of the conduit by mediastinal hematoma. Endovascular stenting restored flow through the conduit, but the patient ultimately expired. CONCLUSIONS: External Fontan compression, which can be caused by numerous sources, may lead to significant organ dysfunction and can be difficult to recognize despite invasive monitoring. We report this complication and suggest ringed conduits to be considered to avoid the possibility of external compression. |
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Authors:
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Jefferson M Lyons; Jodie Y Duffy; Peter B Manning; Jeffrey M Pearl |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of cardiac surgery Volume: 19 ISSN: 0886-0440 ISO Abbreviation: J Card Surg Publication Date: 2004 May-Jun |
Date Detail:
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Created Date: 2004-05-20 Completed Date: 2004-11-06 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8908809 Medline TA: J Card Surg Country: United States |
Other Details:
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Languages: eng Pagination: 254-7 Citation Subset: IM |
Affiliation:
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Department of Cardiothoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Echocardiography, Transesophageal Fontan Procedure / adverse effects* Heart Atria / pathology, surgery Heart Ventricles / pathology, surgery Hematoma / diagnosis, etiology, mortality Hemothorax / diagnosis, etiology, mortality Humans Male Pancreatitis, Acute Necrotizing / diagnosis, etiology, mortality Postoperative Complications / diagnosis, etiology, mortality Tachycardia, Ectopic Atrial / diagnosis, surgery Tomography, X-Ray Computed Treatment Failure |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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