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Use of a self-expanding custom-made stent graft to treat lateral tunnel leak, stenosis, and fenestration in the Fontan pathway

Published online by Cambridge University Press:  11 July 2011

Sucharitha Chadalavada*
Affiliation:
Department of Congenital Heart Disease, Evelina Children's Hospital, London SE1 7EH, United Kingdom
Soodevi Boolkah
Affiliation:
Department of Congenital Heart Disease, Evelina Children's Hospital, London SE1 7EH, United Kingdom
Benjamin Gregory Smith
Affiliation:
Department of Congenital Heart Disease, Evelina Children's Hospital, London SE1 7EH, United Kingdom
*
Correspondence to: S. Chadalavada, Kings College London, 2nd floor, Henrietta Raphael House, Guys Campus, London Bridge SE1 1UL, United Kingdom. Tel: +07899000287; Fax: +02071884556; E-mail: [email protected]

Abstract

A 12-year-old girl with hypoplastic right heart, double inlet left ventricle, and transposition of the great arteries had a lateral tunnel Fontan operation 8 years previously. She developed symptoms related to a combination of stenosis in the inferior caval venous pathway, a fenestration, and leak in the lateral tunnel. These were successfully treated with a custom-made stent graft.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2011

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References

1. Kaulitz, R, Hofbeck, M. Current treatment and prognosis in children with functionally univentricular hearts. Arch Dis Child 2005; 90: 757762.CrossRefGoogle ScholarPubMed
2. Gersony, WM. Fontan operation after 3 decades: what we have learned. Circulation 2008; 117: 1315.CrossRefGoogle ScholarPubMed
3. Khairy, P, Fernandes, SM, Mayer, JE Jr, et al. Long-term survival, modes of death, and predictors of mortality in patients with Fontan surgery. Circulation 2008; 117: 8592.CrossRefGoogle ScholarPubMed
4. Hijazi, ZM, Ruiz, C, Patel, H, Cao, Q, Dorros, G. Catheter therapy for Fontan baffle obstruction and leak, using an endovascular covered stent. Cathet Cardiovasc Diagn 1998; 45: 158161.3.0.CO;2-H>CrossRefGoogle ScholarPubMed
5. Richens, T, Houston, AB, Ruiz, C, Wilson, N. Interventional treatment of lateral tunnel dehiscence in a total cavopulmonary connection using a balloon expandable covered stent. Cathet Cardiovasc Interv 2000; 50: 449451.3.0.CO;2-V>CrossRefGoogle Scholar
6. Uberoi, R, Roberts, P, Barnes, N, Wilson, N. Transcatheter closure of total cavopulmonary connection lateral tunnel dehiscence and fenestration using a custom-made self-expanding stent graft. Cardiovasc Interv Radiol 2009; 32: 385387.CrossRefGoogle ScholarPubMed
7. Ewert, P, Schubert, S, Peters, B, et al. The CP stent-short, long, covered – for the treatment of aortic coarctation, stenosis of pulmonary arteries and caval veins, and Fontan anastomosis in children and adults: an evaluation of 60 stents in 53 patients. Heart 2005; 91: 948953.CrossRefGoogle Scholar
8. Masura, J, Borodacova, L, Tittel, P, Berden, P, Podnar, T. Percutaneous management of cyanosis in Fontan patients using Amplatzer occluders. Cathet Cardiovasc Interv 2008; 71: 843849.CrossRefGoogle ScholarPubMed
9. Ovroutski, S, Ewert, P, Alexi-Meskishvili, V, Peters, B, Hetzer, R, Berger, F. Dilation and stenting of the Fontan pathway: impact of the stenosis treatment on chronic ascites. J Interv Cardiol 2008; 21: 3843.CrossRefGoogle ScholarPubMed