111 Fontan Conversions with Arrhythmia Surgery: Surgical Lessons and Outcomes

ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease

“…Reoperation includes valve repair or replacement for systemic AV valve regurgitation, resection of subaortic obstruction, closure of an unintended residual shunt, revision of Fontan pathway obstruction, or Fontan conversion for atrial tachyarrhythmias with or without anatomic abnormalities. 638 Venous collateral channels or arteriovenous malformations in the right lung in the presence of a classic Glenn shunt may be ameliorated by conversion to a modified Fontan procedure. This enables hepatic venous blood to perfuse the right-sided pulmonary vascular bed.…”

ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease: Executive Summary

“…Reoperation includes valve repair or replacement for systemic AV valve regurgitation, resection of subaortic obstruction, closure of an unintended residual shunt, revision of Fontan pathway obstruction, or Fontan conversion for atrial tachyarrhythmias with or without anatomic abnormalities. 195 Venous collateral channels or arteriovenous malformations in the right lung in the presence of a classic Glenn shunt may be ameliorated by conversion to a modified Fontan procedure. This enables hepatic venous blood to perfuse the right-sided pulmonary vascular bed.…”

Human Heterotaxy Syndrome

“…100, 101 The Maze procedure may be considered, particularly where conversion of the circuit is necessary. 102 …”