Document Detail

Systemic thromboembolism leading to myocardial infarction and stroke after fenestrated total cavopulmonary connection.
MedLine Citation:
PMID:  7786667     Owner:  NLM     Status:  MEDLINE    
Thromboembolic phenomena involving the caval veins, right atrium, and pulmonary artery are recognised complications after the Fontan operation and other forms of total cavopulmonary connection. A rare case of systemic thromboembolism is reported in a 3 year old girl who had repeated coronary and cerebral thromboembolic events after a fenestrated total cavopulmonary shunt operation. A survey of the 18 paediatric cardiac units in the United Kingdom and Ireland showed a wide discrepancy in anticoagulation policies after Fontan-type operations. Prevention of thrombotic complications by lifelong postoperative anticoagulation may outweigh the risk of haemorrhage.
D G Wilson; J D Wisheart; A G Stuart
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  British heart journal     Volume:  73     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1995 May 
Date Detail:
Created Date:  1995-07-27     Completed Date:  1995-07-27     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  483-5     Citation Subset:  AIM; IM    
Congenital Heart Disease Research Unit, University Hospital of Wales, Heath Park, Cardiff.
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MeSH Terms
Aspirin / administration & dosage
Cerebrovascular Disorders / etiology*
Child, Preschool
Drug Administration Schedule
Fontan Procedure*
Myocardial Infarction / etiology*
Postoperative Complications* / prevention & control
Thromboembolism / complications*,  prevention & control
Warfarin / administration & dosage
Reg. No./Substance:
50-78-2/Aspirin; 81-81-2/Warfarin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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