The Turkish Journal of Pediatrics
2010 , Vol 52 , Num 4
Transcatheter closure of extracardiac Fontan fenestration in a cyanotic patient
Pediatric Cardiology Units of 1Department of Pediatrics, Ankara University Faculty of Medicine, and 2Department of
Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey
Fontan operation is the connection of the systemic venous return to the
pulmonary arteries, performed in patients with single ventricle physiology.
The Fontan circuit is commonly fenestrated because of early postoperative
risks such as high systemic venous pressure and low cardiac output. As it
causes progressive cyanosis and increased risk of paradoxical embolism in
the follow-up period, occlusion of these fenestrations is generally suggested.
Successful closure of extracardiac Fontan fenestration with atrial septal
occluder in a 10-year-old girl is reported herein. To our knowledge, this is
the first such report from Turkey.
Keywords :
extracardiac Fontan, fenestration, transcatheter closure.