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Literature DB >> 7786667

Systemic thromboembolism leading to myocardial infarction and stroke after fenestrated total cavopulmonary connection.

Abstract

Thromboembolic phenomena involving the caval veins, right atrium, and pulmonary artery are recognised complications after the Fontan operation and other forms of total cavopulmonary connection. A rare case of systemic thromboembolism is reported in a 3 year old girl who had repeated coronary and cerebral thromboembolic events after a fenestrated total cavopulmonary shunt operation. A survey of the 18 paediatric cardiac units in the United Kingdom and Ireland showed a wide discrepancy in anticoagulation policies after Fontan-type operations. Prevention of thrombotic complications by lifelong postoperative anticoagulation may outweigh the risk of haemorrhage.

Entities: Disease Species

Mesh：

Substances：
Warfarin
Aspirin

Year: 1995 PMID： 7786667 PMCID： PMC483869 DOI： 10.1136/hrt.73.5.483

Source DB: PubMed Journal: Br Heart J ISSN： 0007-0769

12 in total

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Authors: D I Evans; M Rowlands; L Poller
Journal: J Clin Pathol Date: 1992-08 Impact factor: 3.411

2. Abnormalities in von Willebrand factor and antithrombin III after cardiopulmonary bypass operations for congenital heart disease.

Authors: S O Turner-Gomes; M Andrew; J Coles; G A Trusler; W G Williams; M Rabinovitch
Journal: J Thorac Cardiovasc Surg Date: 1992-01 Impact factor: 5.209

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Journal: Thorax Date: 1971-05 Impact factor: 9.139

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Authors: J C Forfar
Journal: Am Heart J Date: 1982-03 Impact factor: 4.749

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Authors: A G Turpie; M Gent; A Laupacis; Y Latour; J Gunstensen; F Basile; M Klimek; J Hirsh
Journal: N Engl J Med Date: 1993-08-19 Impact factor: 91.245

7. Surgical management of occluded conduits after the Fontan operation in patients with Glenn shunts.

Authors: S Y DeLeon; R Koopot; D D Mair; F S Idriss; M N Ilbawi; A J Muster; M H Paul
Journal: J Thorac Cardiovasc Surg Date: 1984-10 Impact factor: 5.209

8. Coagulation factor abnormalities as possible thrombotic risk factors after Fontan operations.

Authors: A H Cromme-Dijkhuis; C M Henkens; C M Bijleveld; H L Hillege; V J Bom; J van der Meer
Journal: Lancet Date: 1990-11-03 Impact factor: 79.321

9. The Fontan operation. Ventricular hypertrophy, age, and date of operation as risk factors.

Authors: J K Kirklin; E H Blackstone; J W Kirklin; A D Pacifico; L M Bargeron
Journal: J Thorac Cardiovasc Surg Date: 1986-12 Impact factor: 5.209

10. Transesophageal echocardiography detects thrombus formation not identified by transthoracic echocardiography after the Fontan operation.

Authors: D A Fyfe; C H Kline; R M Sade; P C Gillette
Journal: J Am Coll Cardiol Date: 1991-12 Impact factor: 24.094

8 in total

Systemic thromboembolism leading to myocardial infarction and stroke after fenestrated total cavopulmonary connection.

1. Survey of oral anticoagulant treatment in children.

2. Abnormalities in von Willebrand factor and antithrombin III after cardiopulmonary bypass operations for congenital heart disease.

3. Atrial thrombi after the Fontan operation.

4. Surgical repair of tricuspid atresia.

5. Prediction of hemorrhage during long-term oral coumarin anticoagulation by excessive prothrombin ratio.

6. A comparison of aspirin with placebo in patients treated with warfarin after heart-valve replacement.

7. Surgical management of occluded conduits after the Fontan operation in patients with Glenn shunts.

8. Coagulation factor abnormalities as possible thrombotic risk factors after Fontan operations.

9. The Fontan operation. Ventricular hypertrophy, age, and date of operation as risk factors.

10. Transesophageal echocardiography detects thrombus formation not identified by transthoracic echocardiography after the Fontan operation.

1. Increased platelet reactivity and significant changes in coagulation markers after cavopulmonary connection.

2. Abnormalities in liver function and coagulation profile following the Fontan procedure.

Review 3. Thromboembolism and the role of anticoagulation in the Fontan patient.

4. Occlusion of Fontan fenestrations using the Amplatzer septal occluder.

5. Transcatheter coil occlusion of residual interatrial communications after Fontan procedure.

6. Fenestration closure with Amplatzer Duct Occluder II in patients after total cavo-pulmonary connection.

Review 7. Hypoplastic left heart syndrome - a review of supportive percutaneous treatment.

Review 8. Thromboembolism and anticoagulation after Fontan surgery.