Article Text

Download PDFPDF
Systemic thromboembolism leading to myocardial infarction and stroke after fenestrated total cavopulmonary connection.
  1. D. G. Wilson,
  2. J. D. Wisheart,
  3. A. G. Stuart
  1. Congenital Heart Disease Research Unit, University Hospital of Wales, Heath Park, Cardiff.


    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.

    Statistics from

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.