Advancing Cor Triatriatum in Fontan Circulation

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Advancing Cor Triatriatum in Fontan Circulation Yusuke Misumi, MD, Takaya Hoashi, MD, PhD, Koji Kagisaki, MD, Hajime Ichikawa, MD, PhD The Annals of Thoracic Surgery Volume 95, Issue 4, Pages 1450-1452 (April 2013) DOI: 10.1016/j.athoracsur.2012.08.115 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Transthoracic echocardiography 10 years after Fontan operation. (B) Accelerated blood flow in the left atrium was detected. White arrows indicate an abnormal septum. (LA = left atrium. PV = pulmonary vein.) The Annals of Thoracic Surgery 2013 95, 1450-1452DOI: (10.1016/j.athoracsur.2012.08.115) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 A resected abnormal septum specimen showing a fivefold thicker endocardium compared with a normal atrial wall. (Masson's trichrome stain; scale bar, 0.5 mm.) The Annals of Thoracic Surgery 2013 95, 1450-1452DOI: (10.1016/j.athoracsur.2012.08.115) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Chronologic changes in pulmonary arterial pressure (PAP), pulmonary capillary wedged pressure (PCWP), pulmonary vascular resistance (Rp), systemic ventricle end-diastolic volume (SVEDV), and systemic ventricle ejection fraction (SVEF) after Fontan operation. Gradually decreasing systemic ventricular end-diastolic volume after Fontan completion was observed, whereas pulmonary vascular resistance and pulmonary arterial pressure remained unchanged. The Annals of Thoracic Surgery 2013 95, 1450-1452DOI: (10.1016/j.athoracsur.2012.08.115) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions