Transcatheter closure of an extracardiac Fontan fenestration.
As the extracardiac Fontan operation evolves, a reliable method for creating and subsequently closing communications between the systemic and pulmonary venous chambers would be useful. We describe a surgical technique for creating this "fenestration" and a complementary transcatheter technique that allows safe and reliable closure of these communications regardless of size and position.
Division of Cardiology, Miami Children's Hospital, Florida 33155, USA.
E M
EM
Zahn
A C
AC
Chang
R P
RP
Burke
J P
JP
Jacobs
D000714:Anastomosis, Surgical; D019917:Blood Vessel Prosthesis Implantation; D006328:Cardiac Catheterization / Q000295:instrumentation; D002404:Catheterization / Q000295:instrumentation; D002675:Child, Preschool; D004621:Embolization, Therapeutic / Q000295:instrumentation; D018729:Fontan Procedure / Q000379:methods*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery; D011667:Pulmonary Veins / Q000601:surgery; D015203:Reproducibility of Results; D012449:Safety; D014682:Vena Cava, Inferior / Q000601:surgery; D014683:Vena Cava, Superior / Q000601:surgery