title: Device occlusion of Fontan fenestration--an economical alternative.
abstract: Fenestrating the Fontan circuit during total cavopulmonary anastomosis is commonly performed to reduce postoperative mortality and morbidity. The resulting systemic desaturation may progressively increase leading to symptoms. We report the case of a symptomatic eight year old, whose Fontan circuit fenestration was closed using a patent ductus arteriosus occluder. The marked improvement in the patient's clinical status immediately and after 3 months confirms this device to be a safe, and economically better alternative to the atrial septal defect occluder.
authors.affiliation: The Department of Pediatric Cardiology, International Center for Cardio Thoracic and Vascular Diseases, R-30-C Ambattur Industrial Estate Road, Mogappair, Chennai 600101, India. premsekar@yahoo.com
authors.forename: Rajasekaran
authors.initials: R
authors.lastname: Prem Sekar
authors.forename: Kotturathu M
authors.initials: KM
authors.lastname: Cherian
mesh_terms: D002404:Catheterization / Q000191:economics / Q000295:instrumentation*; D002648:Child; D003490:Cyanosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D004867:Equipment Design; D017079:Exercise Tolerance; D018729:Fontan Procedure; D006330:Heart Defects, Congenital / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D006352:Heart Ventricles / Q000002:abnormalities / Q000601:surgery; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011652:Pulmonary Circulation; D011859:Radiography; D016896:Treatment Outcome