TY - JOUR
T1 - Current Treatment Options of Fontan Arrhythmias
T2 - Etiology, Incidence, and Diagnosis
AU - Alnoor, Mohammad
AU - Marshall, Mayme
AU - Balaji, Seshadri
N1 - Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2020/11/1
Y1 - 2020/11/1
N2 - Purpose of the review: Patients who undergo single ventricle palliation with a Fontan are at a high risk for developing arrhythmias. This review will address our understanding of pathophysiology, incidence, presentation, and type of arrhythmia, focusing on recent developments. Recent findings: Patients with the initially described atriopulmonary connection type of Fontan have a high incidence of arrhythmias, with severe consequences. Arrhythmias are less of a problem with the two currently used surgical techniques, the lateral tunnel and the extracardiac conduit Fontan, with the extracardiac Fontan being potentially less arrhythmogenic in the long term. Summary: There is no role for the atriopulmonary Fontan any longer. As the lateral tunnel and extracardiac conduit patients age, there will be a greater understanding of the unique complications specific to their unique anatomy.
AB - Purpose of the review: Patients who undergo single ventricle palliation with a Fontan are at a high risk for developing arrhythmias. This review will address our understanding of pathophysiology, incidence, presentation, and type of arrhythmia, focusing on recent developments. Recent findings: Patients with the initially described atriopulmonary connection type of Fontan have a high incidence of arrhythmias, with severe consequences. Arrhythmias are less of a problem with the two currently used surgical techniques, the lateral tunnel and the extracardiac conduit Fontan, with the extracardiac Fontan being potentially less arrhythmogenic in the long term. Summary: There is no role for the atriopulmonary Fontan any longer. As the lateral tunnel and extracardiac conduit patients age, there will be a greater understanding of the unique complications specific to their unique anatomy.
KW - (6) Fontan
KW - Arrhythmia
KW - Atrial flutter, supraventricular tachycardia
KW - Single ventricle
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U2 - 10.1007/s11936-020-00849-3
DO - 10.1007/s11936-020-00849-3
M3 - Review article
AN - SCOPUS:85092596134
SN - 1092-8464
VL - 22
JO - Current Treatment Options in Cardiovascular Medicine
JF - Current Treatment Options in Cardiovascular Medicine
IS - 11
M1 - 53
ER -