Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


Pediatric and Congenital Cardiac Surgery


Dr. Elyse Watkins


The Fontan operation is the final intervention in the palliation of single ventricle pathology. Advances in the operation and post-operative care have dramatically increased life expectancy. However, the complications post operatively and inherent to single ventricles remain a growing area of concern with arrhythmias being the most common complication. The need for pacemakers, particularly endocardial lead placement in adult Fontan patients are challenging due to complete redirection of venous blood flow to the pulmonary arteries. This case study visits an alternative option to epicardial lead implantation by inserting an endocardial lead via a puncture through the pulmonary artery and highlights the common complications that are seen in the aging Fontan population.


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