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.
Pickard M. A case study of a complex single ventricle patient and placement of a transvenous transpulmonary atrial pacemaker. Lynchburg Journal of Medical Science. 2021; 3(4).
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