An uncommon ECG presentation of post-Fontan patient: ECG challenge

ElsevierVolume 93, November–December 2025, 154151Journal of ElectrocardiologyAuthor links open overlay panel, , , Abstract

We report a 26-year patient with univentricular physiology who underwent bidirectional Glenn with left pulmonary artery plasty followed by pulmonary artery stenting and finally underwent fenestrated extra-cardiac Fontan operation at age of 5 years. He was asymptomatic with an interesting ECG with atrial ectopic at presentation. We try to explain the basic mechanism and patterns of arrythmias in post-Fontan patients.

Section snippetsCRediT authorship contribution statement

Atul Kaushik: Writing – review & editing, Writing – original draft, Visualization, Validation, Supervision, Software, Resources, Project administration, Methodology, Investigation, Funding acquisition, Formal analysis, Data curation, Conceptualization. Aparna Jaswal: Writing – review & editing, Visualization, Validation, Supervision, Resources, Project administration, Methodology, Investigation, Formal analysis, Data curation, Conceptualization. Anita Saxena: Writing – review & editing,

Patient consent

Written consent was obtained by the patient for this manuscript.

Funding

No funding was required in the development of this manuscript.

Declaration of competing interest

The authors have no conflict of interests to disclose.

References (3)J.M. Farinha et al.Frequent premature atrial contractions as a signalling marker of atrial cardiomyopathy, incident atrial fibrillation, and stroke

Cardiovasc Res

(2023)

There are more references available in the full text version of this article.

View full text

© 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

Comments (0)

No login
gif