A different approach to treatment of failing Fontan: Transcatheter covered stent implantation
A 5-year-old male with a double outlet right ventricle with noncommitted ventricular septal defect and pulmonary stenosis underwent a bidirectional Glenn operation at 2 years and a Fontan operation with ligation of the pulmonary trunk at 5 years. He presented with pleural effusion 3 months after the...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
KARE Publishing
2016-05-01
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| Series: | Türk Kardiyoloji Derneği Arşivi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-79815 |
| _version_ | 1797912690788663296 |
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| author | İlker Kemal Yücel Şevket Ballı Emine Hekim Yılmaz Ahmet Çelebi |
| author_facet | İlker Kemal Yücel Şevket Ballı Emine Hekim Yılmaz Ahmet Çelebi |
| author_sort | İlker Kemal Yücel |
| collection | DOAJ |
| description | A 5-year-old male with a double outlet right ventricle with noncommitted ventricular septal defect and pulmonary stenosis underwent a bidirectional Glenn operation at 2 years and a Fontan operation with ligation of the pulmonary trunk at 5 years. He presented with pleural effusion 3 months after the Fontan operation. Physical examination revealed a grade 3/6 systolic murmur in the pulmonary area. Echocardiographic evaluation revealed an antegrade pulmonary flow (APF) of gradient 80 mmHg across the ventriculopulmonary communication. Cardiac catheterization and angiography demonstrated the presence of residual antegrade pulmonary flow and stenosis at the pulmonary artery bifurcation. Both pathologies were treated using a single covered stent. Relief of the pulmonary artery stenosis and total occlusion of the residual APF was demonstrated on a control angiogram. |
| first_indexed | 2024-04-10T11:59:56Z |
| format | Article |
| id | doaj.art-0d4d5a21315c43c18d77cbe9faec55c7 |
| institution | Directory Open Access Journal |
| issn | 1016-5169 |
| language | English |
| last_indexed | 2024-04-10T11:59:56Z |
| publishDate | 2016-05-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Türk Kardiyoloji Derneği Arşivi |
| spelling | doaj.art-0d4d5a21315c43c18d77cbe9faec55c72023-02-15T16:16:38ZengKARE PublishingTürk Kardiyoloji Derneği Arşivi1016-51692016-05-0144325625910.5543/tkda.2016.79815TKDA-79815A different approach to treatment of failing Fontan: Transcatheter covered stent implantationİlker Kemal Yücel0Şevket Ballı1Emine Hekim Yılmaz2Ahmet Çelebi3Department of Pediatric Cardiology Dr. Siyami Ersek Cardiovascular and Thoracic Surgery, Training and Research Hospital, Istanbul, TurkeyDepartment of Pediatric Cardiology Dr. Siyami Ersek Cardiovascular and Thoracic Surgery, Training and Research Hospital, Istanbul, TurkeyDepartment of Pediatric Cardiology Dr. Siyami Ersek Cardiovascular and Thoracic Surgery, Training and Research Hospital, Istanbul, TurkeyDepartment of Pediatric Cardiology Dr. Siyami Ersek Cardiovascular and Thoracic Surgery, Training and Research Hospital, Istanbul, TurkeyA 5-year-old male with a double outlet right ventricle with noncommitted ventricular septal defect and pulmonary stenosis underwent a bidirectional Glenn operation at 2 years and a Fontan operation with ligation of the pulmonary trunk at 5 years. He presented with pleural effusion 3 months after the Fontan operation. Physical examination revealed a grade 3/6 systolic murmur in the pulmonary area. Echocardiographic evaluation revealed an antegrade pulmonary flow (APF) of gradient 80 mmHg across the ventriculopulmonary communication. Cardiac catheterization and angiography demonstrated the presence of residual antegrade pulmonary flow and stenosis at the pulmonary artery bifurcation. Both pathologies were treated using a single covered stent. Relief of the pulmonary artery stenosis and total occlusion of the residual APF was demonstrated on a control angiogram.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-79815covered stentfailing fontan; pulmonary stenosis; pulmonary antegrad flow |
| spellingShingle | İlker Kemal Yücel Şevket Ballı Emine Hekim Yılmaz Ahmet Çelebi A different approach to treatment of failing Fontan: Transcatheter covered stent implantation Türk Kardiyoloji Derneği Arşivi covered stent failing fontan; pulmonary stenosis; pulmonary antegrad flow |
| title | A different approach to treatment of failing Fontan: Transcatheter covered stent implantation |
| title_full | A different approach to treatment of failing Fontan: Transcatheter covered stent implantation |
| title_fullStr | A different approach to treatment of failing Fontan: Transcatheter covered stent implantation |
| title_full_unstemmed | A different approach to treatment of failing Fontan: Transcatheter covered stent implantation |
| title_short | A different approach to treatment of failing Fontan: Transcatheter covered stent implantation |
| title_sort | different approach to treatment of failing fontan transcatheter covered stent implantation |
| topic | covered stent failing fontan; pulmonary stenosis; pulmonary antegrad flow |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-79815 |
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