Journal of Structural Heart Disease, February 2019, Volume 5, Issue 1:11-15
Transcatheter Revision of Fontan Circulation by Connecting the Classical Glenn Circulation With the Inferior Vena Cava and Pulmonary Artery Circulation
1 Congenital Heart Center, Spectrum Health Helen DeVos Children's Hospital, Grand Rapids, Michigan, USA
2 Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, USA
Patients with single-ventricle physiology require staged palliation. Additional interventions may be required due to Fontan failure, formation of collaterals or pulmonary arteriovenous malformations (PAVMs). Transcatheter interventions are preferable in this setting to avoid the risks of redo-sternotomy, and cardiopulmonary bypass. We present our experience with transcatheter revision of Fontan circulation in a cyanotic adult congenital heart patient with hypoplastic left heart syndrome (HLHS). Transcatheter Fontan completion may be a feasible option in patients with favorable anatomy and hemodynamics with optimal outcomes.
Video 1: Post-procedure angiogram demonstrates widely patent Glenn and Fontan anastomoses connected by the covered CP stent with unobstructed flow and favorable hemodynamics.
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Cite this article as: Kaley VR, Aregullin EO, Cook SC, Lacina SJ, Samuel BP, Vettukattil J. Transcatheter Revision of Fontan Circulation by Connecting the Classical Glenn Circulation With the Inferior Vena Cava and Pulmonary Artery Circulation. Structural Heart Disease 2019;5(1):11-15. DOI: 10.12945/j.jshd.2019.017.18
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