Abstract
We introduced the Fontan conversion in 1994 for patients with failing Fontan physiology and atrial arrhythmias. The operation entailed conversion to extracardiac vena cava to pulmonary artery connections, arrhythmia surgery, and pacemaker placement. We found that patients did best when there was preservation of ventricular function and absence of protein-losing enteropathy. The long-term effects of this operation were to improve functional status, treat debilitating arrhythmias, repair pathway obstructions, repair valves, and delay cardiac transplantation. For the most part, this operation has been successful, and many impediments have been resolved intraoperatively. These techniques are noted in this chapter.
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© 2015 Springer-Verlag London
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Mavroudis, C. (2015). Fontan Conversion and Arrhythmia Surgery. In: Mavroudis, C., Backer, C. (eds) Atlas of Pediatric Cardiac Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-5319-1_17
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DOI: https://doi.org/10.1007/978-1-4471-5319-1_17
Publisher Name: Springer, London
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