Massive systemic venous thrombosis after Fontan operation: report of a case

A 7 year old boy with single ventricle with pulmonary stenosis underwent a modified Fontan procedure. He had a very stormy postoperative course complicated by continued pleural effusion, hepatomegaly, and chylothorax. He eventually died after an atrial septum reopening. At autopsy, massive thrombi w...

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Bibliographic Details
Published inThe Thoracic and cardiovascular surgeon Vol. 36; no. 4; p. 234
Main Authors Okita, Y, Miki, S, Kusuhara, K, Ueda, Y, Tahata, T, Komeda, M, Tamura, T
Format Journal Article
LanguageEnglish
Published Germany 01.08.1988
Subjects
Cardiac Surgical Procedures - adverse effects
Child
Chylothorax - etiology
Heart Defects, Congenital - surgery
Hepatomegaly - etiology
Humans
Hypertension - etiology
Hypertension - surgery
Male
Myocardium - pathology
Pleural Effusion - etiology
Reoperation
Thrombophlebitis - etiology
Thrombophlebitis - pathology
Tricuspid Valve - abnormalities
Veins
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Summary:A 7 year old boy with single ventricle with pulmonary stenosis underwent a modified Fontan procedure. He had a very stormy postoperative course complicated by continued pleural effusion, hepatomegaly, and chylothorax. He eventually died after an atrial septum reopening. At autopsy, massive thrombi were found in the inferior vena cava, right atrium, and pulmonary artery. This complication was probably due to multiple factors, but a routine anticoagulation therapy may be required after Fontan procedure.
ISSN:0171-6425
DOI:10.1055/s-2007-1020086