Replacement of the extracardiac conduit for infective endocarditis after a fontan operation

Tomohiko Ukai; Yosuke Nakai; Hidekazu Matsumae; Norikazu Nomura; Miki Asano; Akira Mishima

doi:10.1111/jocs.12266

Replacement of the extracardiac conduit for infective endocarditis after a fontan operation

J Card Surg. 2014 Mar;29(2):265-7. doi: 10.1111/jocs.12266. Epub 2013 Dec 3.

Authors

Tomohiko Ukai¹, Yosuke Nakai, Hidekazu Matsumae, Norikazu Nomura, Miki Asano, Akira Mishima

Affiliation

¹ Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.

PMID: 24299054
DOI: 10.1111/jocs.12266

Abstract

We report the management of infective endocarditis after an extracardiac Fontan operation. Obstruction of the infected conduit and the associated pulmonary arterial embolism led to failure of the Fontan circulation. This was managed by completely removing both the infected conduit and emboli and replacing the conduit.

Publication types

Case Reports

MeSH terms

Abnormalities, Multiple*
Anti-Bacterial Agents / administration & dosage
Anticoagulants / administration & dosage
Child, Preschool
Endocarditis / diagnostic imaging
Endocarditis / drug therapy
Endocarditis / surgery*
Fontan Procedure / methods*
Heart Defects, Congenital / surgery*
Humans
Male
Postoperative Complications / diagnostic imaging
Postoperative Complications / drug therapy
Postoperative Complications / surgery*
Postoperative Complications / therapy*
Pulmonary Artery / diagnostic imaging
Pulmonary Artery / surgery
Pulmonary Embolism / diagnostic imaging
Pulmonary Embolism / drug therapy
Pulmonary Embolism / surgery
Reoperation
Thrombectomy
Tomography, X-Ray Computed
Treatment Outcome

Substances

Anti-Bacterial Agents
Anticoagulants