Aortic Dissection in a Patient With Fontan Physiology
Aortic dilation and dissection can occur in Fontan survivors, requiring careful preoperative planning with peripheral cannulation, cooling, and coronary ostial cardioplegia. Complex coronary reconstruction, short-term venoarterial extracorporeal membrane oxygenation with early chest closure, and ongoing imaging surveillance are essential for management and long-term care.
Authors
- Brian Sinclair
- Nicolas Mourad (ORCID: https://orcid.org/0000-0003-4776-414X)
- Jamil Bashir (ORCID: https://orcid.org/0000-0001-8480-6690)
- Rebecca Liu (ORCID: https://orcid.org/0000-0002-3761-7018)
- Sarah R. Monagle
- Isabel Witvrouwen
- Ahamad Muhieldin
- Jean Raubenheimer
Institutions
- University of British Columbia (CA)
- St. Paul's Hospital (CA)
- St. Paul's Hospital (CA)
- BC Children's Hospital (CA)
Publication Details
- Journal
- JACC Case Reports
- Published
- 2026-03-01
- DOI
- https://doi.org/10.1016/j.jaccas.2026.107507
- Primary Topic
- Congenital Heart Disease Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00