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Related Experiment Videos

Atrial thrombi after the Fontan operation.

A R Dobell, G A Trusler, J F Smallhorn

    The Annals of Thoracic Surgery
    |December 1, 1986
    PubMed
    Summary

    Right atrial thrombi can form after Fontan operations. Regular echocardiograms and anticoagulation are recommended for Fontan patients to monitor and manage these potentially serious cardiac clots.

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    Area of Science:

    • Cardiology
    • Pediatric Cardiac Surgery
    • Vascular Medicine

    Background:

    • The Fontan operation is a palliative procedure for complex congenital heart disease.
    • Right atrial thrombi are a potential complication following Fontan-type operations.
    • Early detection and management of thrombi are crucial for patient outcomes.

    Purpose of the Study:

    • To report instances of right atrial thrombi after Fontan operations.
    • To discuss the implications and management of these thrombi.
    • To recommend surveillance strategies for post-Fontan patients.

    Main Methods:

    • Case series documenting four patients with right atrial thrombi.
    • Review of clinical course, treatment, and outcomes.
    • Echocardiographic surveillance.

    Main Results:

    • Four cases of right atrial thrombi identified 4 days to 5 years post-Fontan.
    • Two thrombi surgically removed; two resolved with anticoagulation.
    • No pulmonary emboli observed in this cohort.

    Conclusions:

    • Right atrial thrombi pose a significant risk in post-Fontan patients.
    • Regular echocardiographic surveillance is recommended.
    • Anticoagulation may be beneficial in specific clinical situations.

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