Unusual method of creation of a transcatheter fenestration in an extracardiac conduit fontan circulation
Failing Fontan physiology in univentricular hearts manifest with protein-losing enteropathy, plastic bronchitis, low cardiac output, and recurrent effusions. Transcatheter creation of fenestration in a failing Fontan may be useful in alleviating the symptoms by improving the cardiac output. It is tr...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Annals of Pediatric Cardiology |
| Subjects: | |
| Online Access: | http://www.annalspc.com/article.asp?issn=0974-2069;year=2016;volume=9;issue=3;spage=258;epage=262;aulast=Singhi |
| _version_ | 1818207271572733952 |
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| author | Anil K Singhi Sivakumar Kothandum |
| author_facet | Anil K Singhi Sivakumar Kothandum |
| author_sort | Anil K Singhi |
| collection | DOAJ |
| description | Failing Fontan physiology in univentricular hearts manifest with protein-losing enteropathy, plastic bronchitis, low cardiac output, and recurrent effusions. Transcatheter creation of fenestration in a failing Fontan may be useful in alleviating the symptoms by improving the cardiac output. It is traditionally achieved by puncturing through the conduit from femoral or jugular venous access. In the absence of good venous path, transhepatic access provides a direct route for needle puncture of the conduit. If marked intimal ingrowth into the conduit results in increasing rigidity and makes the conduit nonyielding, alternative approaches may be needed. A successful creation of pulmonary artery to atrial roof communication through the potential space of transverse sinus using a covered stent is presented. |
| first_indexed | 2024-12-12T04:26:16Z |
| format | Article |
| id | doaj.art-d71a9ffb85b14235a11f217cc8bc5a23 |
| institution | Directory Open Access Journal |
| issn | 0974-2069 |
| language | English |
| last_indexed | 2024-12-12T04:26:16Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Pediatric Cardiology |
| spelling | doaj.art-d71a9ffb85b14235a11f217cc8bc5a232022-12-22T00:38:12ZengWolters Kluwer Medknow PublicationsAnnals of Pediatric Cardiology0974-20692016-01-019325826210.4103/0974-2069.189112Unusual method of creation of a transcatheter fenestration in an extracardiac conduit fontan circulationAnil K SinghiSivakumar KothandumFailing Fontan physiology in univentricular hearts manifest with protein-losing enteropathy, plastic bronchitis, low cardiac output, and recurrent effusions. Transcatheter creation of fenestration in a failing Fontan may be useful in alleviating the symptoms by improving the cardiac output. It is traditionally achieved by puncturing through the conduit from femoral or jugular venous access. In the absence of good venous path, transhepatic access provides a direct route for needle puncture of the conduit. If marked intimal ingrowth into the conduit results in increasing rigidity and makes the conduit nonyielding, alternative approaches may be needed. A successful creation of pulmonary artery to atrial roof communication through the potential space of transverse sinus using a covered stent is presented.http://www.annalspc.com/article.asp?issn=0974-2069;year=2016;volume=9;issue=3;spage=258;epage=262;aulast=SinghiFailing Fontanprotein.-losing enteropathystent fenestration |
| spellingShingle | Anil K Singhi Sivakumar Kothandum Unusual method of creation of a transcatheter fenestration in an extracardiac conduit fontan circulation Annals of Pediatric Cardiology Failing Fontan protein.-losing enteropathy stent fenestration |
| title | Unusual method of creation of a transcatheter fenestration in an extracardiac conduit fontan circulation |
| title_full | Unusual method of creation of a transcatheter fenestration in an extracardiac conduit fontan circulation |
| title_fullStr | Unusual method of creation of a transcatheter fenestration in an extracardiac conduit fontan circulation |
| title_full_unstemmed | Unusual method of creation of a transcatheter fenestration in an extracardiac conduit fontan circulation |
| title_short | Unusual method of creation of a transcatheter fenestration in an extracardiac conduit fontan circulation |
| title_sort | unusual method of creation of a transcatheter fenestration in an extracardiac conduit fontan circulation |
| topic | Failing Fontan protein.-losing enteropathy stent fenestration |
| url | http://www.annalspc.com/article.asp?issn=0974-2069;year=2016;volume=9;issue=3;spage=258;epage=262;aulast=Singhi |
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