New technique for fenestration of the interatrial septum.
Achieving controlled flow between the systemic and pulmonary venous circulations is desirable in many complex congenital heart diseases. This includes the Fontan circulation, primary pulmonary hypertension, double inlet ventricles, or hypoplastic left heart with obstruction to the atrioventricular valve. As no specific device is available for this purpose, we developed a balloon-mounted stent technique to achieve a predetermined-sized fenestration of an atrial baffle in a patient with Fontan circulation. The details of the technique are described.
Sivaprakasam
Muthukumaran
M
Wessex Adult Congenital Heart Unit, Wessex Cardiothoracic Unit, Southampton General Hospital, Southampton, United Kingdom.
Kiesewetter
Christoph
C
Veldtman
Gruschen R
GR
Salmon
Anthony P
AP
Vettukattil
Joseph
J
D000328:Adult; D001282:Atrial Flutter / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D017115:Catheter Ablation / Q000295:instrumentation / Q000379:methods; D002404:Catheterization / Q000295:instrumentation / Q000379:methods*; D003326:Coronary Circulation; D018729:Fontan Procedure / Q000009:adverse effects; D006344:Heart Septal Defects, Atrial / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D008297:Male; D011504:Protein-Losing Enteropathies / Q000209:etiology / Q000628:therapy; D011652:Pulmonary Circulation; D012086:Reoperation; D015607:Stents