JTCS Email Content Delivery
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Hans Meisner
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Balling, G.
Right arrow Articles by Hess, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Balling, G.
Right arrow Articles by Hess, J.

J Thorac Cardiovasc Surg 2000;119:745-751
© 2000 The American Association for Thoracic Surgery

SURGERY FOR CONGENITAL HEART DISEASE

INTRACARDIAC THROMBUS FORMATION AFTER THE FONTAN OPERATION

Gunter Balling, MDa, Manfred Vogt, MDa, Harald Kaemmerer, MDa, Andreas Eicken, MDa, Hans Meisner, MDb, John Hess, MDa

From the Departments of Pediatric Cardiology and Congenital Heart Diseasea and Cardiac Surgery,b German Heart Center, Technical University, Munich, Germany.

Address for reprints: G. Balling, MD, Deutsches Herzzentrum München, Klinik für Kinderkardiologie und angeborene Herzfehler,-Klinik an der Technischen Universität München-, Lazarettstrasse 36, D-80636 München, Germany (E-mail: Balling{at}DHM.mhn.de ).

Objectives: Intracardiac thrombus formation is suspected to be a specific sequela after the Fontan operation and is difficult to determine by means of routine transthoracic echocardiography. The aim of our study was to evaluate the occurrence of intracardiac thrombi in the different types of Fontan modifications and to identify predisposing risk factors.
Methods: We evaluated 52 patients who had undergone a Fontan-type operation and were free of symptoms regarding thrombosis as determined by transesophageal echocardiography.
Results: In 17 (33%) patients thrombus formation could be found without clinical evidence of thromboembolic complications. Neither underlying morphologic disease nor age at operation, type of Fontan operation, sex, follow-up interval, arrhythmias, or laboratory or hemodynamic findings could be identified as predisposing risk factors.
Conclusion: In patients having had a Fontan operation with inadequate or without anticoagulation medication, we would recommend routine transesophageal echocardiography to exclude eventual thrombi. Because of the high incidence of thrombi, we suggest oral anticoagulation therapy in all patients.




This article has been cited by other articles:


Home page
 ChestHome page
P. Monagle, E. Chalmers, A. Chan, G. deVeber, F. Kirkham, P. Massicotte, and A. D. Michelson
Antithrombotic Therapy in Neonates and Children: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition)
Chest, June 1, 2008; 133(6_suppl): 887S - 968S.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K. C. Odegard, D. Zurakowski, S. Hornykewycz, J. A. DiNardo, R. A. Castro, E. J. Neufeld, and P. C. Laussen
Evaluation of the Coagulation System in Children with Two-Ventricle Congenital Heart Disease
Ann. Thorac. Surg., May 1, 2007; 83(5): 1797 - 1803.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. Guay
Invited commentary
Ann. Thorac. Surg., May 1, 2007; 83(5): 1803 - 1804.
[Full Text] [PDF]

Home page
 HeartHome page
H A Walker and M A Gatzoulis
Prophylactic anticoagulation following the Fontan operation
Heart, July 1, 2005; 91(7): 854 - 856.
[Full Text] [PDF]

Home page
 Arch. Dis. Child.Home page
R Kaulitz and M Hofbeck
Current treatment and prognosis in children with functionally univentricular hearts
Arch. Dis. Child., July 1, 2005; 90(7): 757 - 762.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
A. A. Ghaferi and G. M. Hutchins
Progression of liver pathology in patients undergoing the Fontan procedure: Chronic passive congestion, cardiac cirrhosis, hepatic adenoma, and hepatocellular carcinoma
J. Thorac. Cardiovasc. Surg., June 1, 2005; 129(6): 1348 - 1352.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
M. L. Jacobs
The Fontan operation, thromboembolism, and anticoagulation: A reappraisal of the single bullet theory
J. Thorac. Cardiovasc. Surg., March 1, 2005; 129(3): 491 - 495.
[Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. Kaulitz, G. Ziemer, R. Rauch, M. Girisch, H. Bertram, A. Wessel, and M. Hofbeck
Prophylaxis of thromboembolic complications after the Fontan operation (total cavopulmonary anastomosis)
J. Thorac. Cardiovasc. Surg., March 1, 2005; 129(3): 569 - 575.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
V Chaloupecky, I Svobodova, I Hadacova, V Tomek, B Hucin, T Tlaskal, J Janousek, O Reich, and J Skovranek
Coagulation profile and liver function in 102 patients after total cavopulmonary connection at mid term follow up
Heart, January 1, 2005; 91(1): 73 - 79.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
P. Monagle, A. Chan, P. Massicotte, E. Chalmers, and A. D. Michelson
Antithrombotic Therapy in Children*: The Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy
Chest, September 1, 2004; 126(3_suppl): 645S - 687S.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
J. Weipert, C. Noebauer, C. Schreiber, M. Kostolny, B. Zrenner, A. Wacker, J. Hess, and R. Lange
Occurrence and management of atrial arrhythmia after long-term Fontan circulation
J. Thorac. Cardiovasc. Surg., February 1, 2004; 127(2): 457 - 464.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
S. Weinstein, C. Cua, D. Chan, and J. T. Davis
Outcome of symptomatic patients undergoing extracardiac Fontan conversion and cryoablation
J. Thorac. Cardiovasc. Surg., August 1, 2003; 126(2): 529 - 536.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
C. Varma, M. R. Warr, A. L. Hendler, N. S. Paul, G. D. Webb, and J. Therrien
Prevalence of "silent" pulmonary emboli in adults after the Fontan operation
J. Am. Coll. Cardiol., June 18, 2003; 41(12): 2252 - 2258.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
K. C. Odegard, F. X. McGowan Jr, D. Zurakowski, J. A. DiNardo, R. A. Castro, P. J. del Nido, and P. C. Laussen
Procoagulant and anticoagulant factor abnormalities following the Fontan procedure: Increased factor VIII may predispose to thrombosis
J. Thorac. Cardiovasc. Surg., June 1, 2003; 125(6): 1260 - 1267.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. K. Woods, U. Dyamenahalli, B. W. Duncan, G. L. Rosenthal, and F. M. Lupinetti
Comparison of extracardiac Fontan techniques: Pedicled pericardial tunnel versus conduit reconstruction
J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(3): 465 - 471.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. G. Seipelt, A. Franke, J. F. Vazquez-Jimenez, P. Hanrath, G. von Bernuth, B. J. Messmer, and E. G. Muhler
Thromboembolic complications after Fontan procedures: comparison of different therapeutic approaches
Ann. Thorac. Surg., August 1, 2002; 74(2): 556 - 562.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
J. K. Triedman, M. E. Alexander, B. A. Love, K. K. Collins, C. I. Berul, L. M. Bevilacqua, and E. P. Walsh
Influence of patient factors and ablative technologies on outcomes of radiofrequency ablation of intra-atrial re-entrant tachycardia in patients with congenital heart disease
J. Am. Coll. Cardiol., June 5, 2002; 39(11): 1827 - 1835.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K. C. Odegard, F. X. McGowan Jr, D. Zurakowski, J. A. DiNardo, R. A. Castro, P. J. del Nido, and P. C. Laussen
Coagulation factor abnormalities in patients with single-ventricle physiology immediately prior to the fontan procedure
Ann. Thorac. Surg., June 1, 2002; 73(6): 1770 - 1777.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
K. C. Odegard, F. X. McGowan Jr, J. A. DiNardo, R. A. Castro, D. Zurakowski, C. M. Connor, D. D. Hansen, E. J. Neufeld, P. J. del Nido, and P. C. Laussen
Coagulation abnormalities in patients with single-ventricle physiology precede the Fontan procedure
J. Thorac. Cardiovasc. Surg., March 1, 2002; 123(3): 459 - 465.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
P. D. Coon, J. Rychik, R. T. Novello, P. S. Ro, J. W. Gaynor, and T. L. Spray
Thrombus formation after the Fontan operation
Ann. Thorac. Surg., June 1, 2001; 71(6): 1990 - 1994.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
C. Stamm, I. Friehs, J. E. Mayer Jr, D. Zurakowski, J. K. Triedman, A. M. Moran, E. P. Walsh, J. E. Lock, R. A. Jonas, and P. J. del Nido
Long-term results of the lateral tunnel Fontan operation
J. Thorac. Cardiovasc. Surg., January 1, 2001; 121(1): 0028 - 41.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2000 by The American Association for Thoracic Surgery.