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. 1995 May;73(5):483–485. doi: 10.1136/hrt.73.5.483

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

D G Wilson 1, J D Wisheart 1, A G Stuart 1
PMCID: PMC483869  PMID: 7786667

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.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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