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.
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