Transcatheter fenestration dilation and/or creation in postoperative Fontan patients.
There are very few therapeutic options for severely symptomatic Fontan patients after spontaneous complete or virtual fenestration closure. Its reopening in 14 such patients led to dramatic hemodynamic improvement in most. The clinical experience with transcatheter fenestration creation and/or dilation in symptomatic Fontan patients is reported demonstrating feasibility, safety, and a novel management option for these patients.
Kreutzer
J
J
Department of Cardiology, Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
Lock
J E
JE
Jonas
R A
RA
Keane
J F
JF
D000293:Adolescent; D000328:Adult; D001794:Blood Pressure; D002302:Cardiac Output; D002303:Cardiac Output, Low / Q000209:etiology / Q000628:therapy; D002404:Catheterization; D002648:Child; D002675:Child, Preschool; D002985:Clinical Protocols; D005240:Feasibility Studies; D005500:Follow-Up Studies; D018729:Fontan Procedure / Q000009:adverse effects*; D006439:Hemodynamics; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology / Q000628:therapy; D007223:Infant; D010100:Oxygen / Q000097:blood; D010166:Palliative Care; D010996:Pleural Effusion / Q000209:etiology / Q000628:therapy; D011654:Pulmonary Edema / Q000209:etiology / Q000628:therapy; D012449:Safety
D010100:Oxygen