Stent implantation to create interatrial communications in patients with complex congenital heart disease.
A restrictive interatrial communication can complicate the management of complex congenital heart disease. The purpose of this report is to present a new technique to achieve a patent and reliable interatrial communication by using an endovascular stent. A stent was successfully implanted across a fenestrated extracardiac conduit in two patients with low cardiac output after Fontan operations and across the interatrial septum in a patient with double inlet left ventricle and severe left atrioventricular stenosis. The procedures were uncomplicated and all patients showed immediate hemodynamic improvement. Cathet. Cardiovasc. Intervent. 47:310-313, 1999.
Department of Pediatrics, Division of Cardiology, Hospital for Sick Children, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada.
C A
CA
Pedra
J
J
Pihkala
L N
LN
Benson
R M
RM
Freedom
D
D
Nykanen
D002675:Child, Preschool; D018729:Fontan Procedure; D006325:Heart Atria; D006330:Heart Defects, Congenital / Q000628:therapy*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000628:therapy; D015607:Stents