PMID- 21969207 OWN - NLM STAT- MEDLINE DCOM- 20120224 LR - 20211020 IS - 1436-2813 (Electronic) IS - 0941-1291 (Linking) VI - 41 IP - 12 DP - 2011 Dec TI - Fontan conversion with novel direct ablation after childbirth: report of a case. PG - 1684-8 LID - 10.1007/s00595-011-4560-9 [doi] AB - A 38-year-old woman underwent atriopulmonary Fontan surgery at age 18 years and subsequently successfully delivered a girl by cesarean section at age 34. Her condition later deteriorated due to atrial tachyarrhythmia and progressed to New York Heart Association (NYHA) class IV heart failure. Her treatment, at age 36, comprised total cavopulmonary connection conversion, direct right atrial ablation with bipolar radiofrequency devices, the creation of an atrial septal defect, and placement of a dual-chamber permanent pacemaker. Three years after the conversion, her condition has improved to NYHA class I. FAU - Ozawa, Tsukasa AU - Ozawa T AD - Department of Cardiovascular Surgery, Toho University Omori Medical Center, 6-11-1 Omori-nishi, Ota-ku, Tokyo, 143-8541, Japan. FAU - Fujii, Takeshiro AU - Fujii T FAU - Shiono, Noritsugu AU - Shiono N FAU - Hamada, Satoshi AU - Hamada S FAU - Masuhara, Hiroshi AU - Masuhara H FAU - Hara, Masanori AU - Hara M FAU - Sasaki, Yuki AU - Sasaki Y FAU - Katayanagi, Tomoyuki AU - Katayanagi T FAU - Yoshihara, Katsunori AU - Yoshihara K FAU - Okano, Yoshifumi AU - Okano Y FAU - Takatsuki, Shinichi AU - Takatsuki S FAU - Saji, Tsutomu AU - Saji T FAU - Koyama, Nobuya AU - Koyama N FAU - Watanabe, Yoshinori AU - Watanabe Y LA - eng PT - Case Reports PT - Journal Article DEP - 20111004 PL - Japan TA - Surg Today JT - Surgery today JID - 9204360 SB - IM MH - Adult MH - *Catheter Ablation MH - Female MH - Fontan Procedure MH - Heart Atria/*surgery MH - *Heart Bypass, Right MH - Heart Defects, Congenital/surgery MH - Heart Failure/classification/etiology/*surgery MH - Humans MH - Pacemaker, Artificial MH - *Parturition MH - Pregnancy MH - Tachycardia/etiology/surgery EDAT- 2011/10/05 06:00 MHDA- 2012/03/01 06:00 CRDT- 2011/10/05 06:00 PHST- 2010/08/25 00:00 [received] PHST- 2011/05/09 00:00 [accepted] PHST- 2011/10/05 06:00 [entrez] PHST- 2011/10/05 06:00 [pubmed] PHST- 2012/03/01 06:00 [medline] AID - 10.1007/s00595-011-4560-9 [doi] PST - ppublish SO - Surg Today. 2011 Dec;41(12):1684-8. doi: 10.1007/s00595-011-4560-9. Epub 2011 Oct 4.