title: Chronic pulmonary thromboembolism in a patient with a fontan circulation: percutaneous management.
abstract: Chronic pulmonary embolism is a common complication in patients with Fontan circulations. When anticoagulation is ineffective and surgery is contraindicated, percutaneous techniques may be considered. The authors report the first case of successful catheter intervention in a 30-year-old woman with a Fontan circulation who presented with NYHA class IV symptoms and chronic and complete obstruction of her left pulmonary artery.
authors.affiliation: Toronto Cogenital Cardiac Centre for Adults, Toronto General Hospital/University Health Network, 585 University Ave, Toronto, Ontario, Canada.
authors.forename: Payam
authors.initials: P
authors.lastname: Dehghani
authors.forename: Nicholas
authors.initials: N
authors.lastname: Collins
authors.forename: Eric
authors.initials: E
authors.lastname: Horlick
authors.forename: Lee
authors.initials: L
authors.lastname: Benson
mesh_terms: D000328:Adult; D000792:Angiography; D005260:Female; D005500:Follow-Up Studies; D018729:Fontan Procedure / Q000009:adverse effects*; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006352:Heart Ventricles / Q000002:abnormalities; D006801:Humans; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017131:Thrombectomy / Q000379:methods