title: Novel uses of the Rashkind ductal umbrella in adults and children with congenital heart disease.
abstract: OBJECTIVE
  To show possible alternative uses of the Rashkind ductal umbrella.
  
  
  METHODS
  Descriptive study of selected, non-randomised patients; with specific congenital heart lesions other than an arterial duct.
  
  
  METHODS
  A tertiary referral centre.
  
  
  METHODS
  Nine patients with congenital heart lesions; four with interatrial communications after a fenestrated Fontan procedure two with large aortopulmonary collaterals, three with an unoperated ventricular septal defect.
  
  
  METHODS
  Placement of a Rashkind umbrella occluder as treatment for a haemodynamically important lesion.
  
  
  RESULTS
  Successful placement with symptomatic and haemodynamic improvement in all.
  
  
  CONCLUSIONS
  The Rashkind ductal umbrella may be used successfully to treat some patients with aortopulmonary collateral vessels, ventricular septal defects, and interatrial communications after the fenestrated Fontan procedure.
authors.affiliation: Department of Paediatric Cardiology, Royal Brompton National Heart and Lung Hospital, London.
authors.forename: A N
authors.initials: AN
authors.lastname: Redington
authors.forename: M L
authors.initials: ML
authors.lastname: Rigby
mesh_terms: D000293:Adolescent; D001028:Aortopulmonary Septal Defect / Q000503:physiopathology / Q000601:surgery*; D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures / Q000295:instrumentation*; D002404:Catheterization; D002648:Child; D002675:Child, Preschool; D003097:Collateral Circulation; D005260:Female; D006330:Heart Defects, Congenital / Q000503:physiopathology; D006344:Heart Septal Defects, Atrial / Q000503:physiopathology / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D007223:Infant; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities*