Atrial fibrillation and thrombus in a patient with a fontan circulation: Submitted by Lara Curran, MBBS, BSc, Konstantinos Dimopoulos, MD, MSc, PhD, FESC and Rafael Alonso-Gonzalez, MD, MSc, FESC

Seshadri Balaji, Ravi Mandapati, Gary D. Webb

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

1. All patients with ACHD and AF, atrial flutter, or intraatrial reentrant tachycardia should undergo transthoracic and transesophageal echocardiography to rule out a thrombus prior to cardioversion. 2. In patients with Fontan operation presenting with AF, flutter, or IART, the search for an intracardiac thrombus should be performed regardless of the duration of the arrhythmia and prior anticoagulant therapy. 3. Fontan patients with a large intracardiac thrombus should be considered for surgical removal of the thrombus. Conversion to a newer style Fontan can be combined with the thrombectomy operation.

Original languageEnglish (US)
Title of host publicationArrhythmias in Adult Congenital Heart Disease
Subtitle of host publicationA Case-Based Approach
PublisherElsevier
Pages169-177
Number of pages9
ISBN (Electronic)9780323485685
ISBN (Print)9780323496094
DOIs
StatePublished - Jan 1 2018

Keywords

  • Atrial arrhythmia
  • Atrial fibrillation
  • Failing Fontan
  • Fontan circulation
  • Thrombosis
  • Ventricular dysfunction

ASJC Scopus subject areas

  • Medicine(all)

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