Page 29 - Journal of Structural Heart Disease Volume 5, Issue 2

Case Report
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veno-venous connections frequently seen in patients with congenital heart disease [10]. Major advantages of transcatheter closure are the decreased need for reoperation leading to decreased postoperative mor- bidity and mortality [11]. APF occlusion using Am- platzer vascular occluder, in our patient, lead to a de- crease in Fontan circuit pressures to a mean pressure of 20 mm Hg while the patient was still intubated and on positive pressure ventilation and it was expected for this pressure to decrease further with resolution of pleural effusions and ascites, as it was observed. To- day, many devices are available for percutaneous clo- sure of APF including coils, plugs, microspheres, glue and occlusion balloons and its safety and efficacy has been well established so far [6, 8, 10, 11].
Acknowledgement
The authors wish to acknowledge Timothy Men- ning for his assistance with this project.
Conflict of Interest
The authors have no conflict of interest relevant to this publication.
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Journal of Structural Heart Disease, April 2019
Volume 5, Issue 2:38-42
Cite this article as: Dzelebdzic S, Taw- fik S, Collazo L, Shorofsky M, Benheim A, Ansong A, Karr S. Diagnosis and Management of Fontan Failure Second- ary to Aortopulmonary Artery Fistula. Structural Heart Disease. 2018;5(2):38- 42. DOI: https://doi.org/10.12945/j. jshd.2019.014.18