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J Thorac Cardiovasc Surg 2004;128:325
© 2004 The American Association for Thoracic Surgery

Letter to the editor

Interventional atrial incision in the Fontan operation: Novel prophylaxis or iatrogenic substrate for intra-atrial reentrant tachycardia?

Department of Paediatric Cardiac Surgery, Alder Hey Hospital, Eaton Rd, Liverpool L12 2AP, United Kingdom

The first 20% of the full text of this article appears below.

To the Editor:

In the March 2004 issue of the Journal, Collins and colleagues¹ published short-term results of their interesting prospective, randomized, blinded trial to assess the feasibility, safety, and efficacy of an interventional atrial incision placed at the time of the Fontan operation to reduce the development of intra-atrial reentrant tachycardia (IART). Although the idea sounds clever, there are serious concerns about the long-term efficacy of their modification.

Staged palliation culminating in a successful Fontan procedure is the current surgical goal for most patients with a functional single ventricle. . . . [Full Text of this Article]