Transhepatic closure of a post-fontan hepatic veins to left atrium fenestration in visceral heterotaxia and dextrocardia.
This article reports on the transhepatic closure of post-Fontan hepatic veins to left atrium fenestration in a 13-year-old girl with left atrial isomerism, dextrocardia, azygos continuation to the left superior vena cava, and median liver. The transhepatic route seemed to be the less tortuous access to the fenestration which was previously partially occluded with a CardioSeal device. The hepatic veins were entered at the left abdominal side using fluoroscopic guidance and the fenestration was uneventfully occluded with an Amplatzer septal occluder device.
Service de Cardiologie Pédiatrique, Hôpital Necker-Enfants Malades, 149, rue de Sèvres 75743 Paris, France.
Zakhia
Z
Saliba
Younes
Y
Boudjemline
Philippe
P
Acar
Ana
A
Hausse
Daniel
D
Sidi
Philipp
P
Bonhoeffer
D000293:Adolescent; D006328:Cardiac Catheterization / Q000379:methods; D003914:Dextrocardia / Q000601:surgery; D005260:Female; D018729:Fontan Procedure / Q000009:adverse effects; D006325:Heart Atria / Q000002:abnormalities / Q000601:surgery; D006503:Hepatic Veins / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000628:therapy*; D019736:Prostheses and Implants; D011667:Pulmonary Veins; D012086:Reoperation; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000628:therapy*