A novel implantation technique for closure of an atypical fenestration connecting the right atrial appendage to an extracardiac conduit by use of a 15 mm Helex device in a patient with total cavopulmonary connection.
We report on a 7-years old patient after total cavopulmonary anastomosis with an extracardiac conduit. An atypical fenestration was created during the operation connecting the right atrial appendage to the extracardiac conduit. Because of arterial desaturation, the fenestration connecting the anterior wall of the extracardiac conduit to the posterior wall of the right atrial appendage was successfully occluded with a 15 mm Helex device by use of a modified implantation technique.
Peuster
M
M
Klinik für angeborene Herzfehler Herz- und Diabeteszentrum Nordrhein-Westfalen, Ruhr-Universität Bochum, Georgstrasse 11, 32545 Bad Oeynhausen, Germany. mpeuster@hdz-nrw.de
Beerbaum
P
P
D020517:Atrial Appendage / Q000002:abnormalities* / Q000601:surgery; D021721:Balloon Occlusion / Q000295:instrumentation; D019917:Blood Vessel Prosthesis Implantation; D006328:Cardiac Catheterization / Q000295:instrumentation; D002648:Child; D017023:Coronary Angiography; D018729:Fontan Procedure / Q000295:instrumentation*; D018610:Heart Bypass, Right; D006352:Heart Ventricles / Q000002:abnormalities*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D019736:Prostheses and Implants; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D012086:Reoperation / Q000379:methods; D014188:Transposition of Great Vessels / Q000000981:diagnostic imaging / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000601:surgery*