title: Percutaneous transcatheter communication between the pulmonary artery and atrium following an extra-cardiac Fontan: an alternative approach to fenestration avoiding conduit perforation.
abstract: In a nonfenestrated modified Fontan, transcatheter creation of a fenestration presents technical difficulties, especially with the extra-cardiac modification where a Gore-Tex tube is placed between the inferior caval vein and the pulmonary arteries. The authors describe an alternative approach to perforating the Gore-Tex tube to create a fenestration by making a communication between the pulmonary artery and the atrial chamber, thus bridging the two circulations through native tissue.
authors.affiliation: Heart Unit, Birmingham Children's Hospital, Birmingham, United Kingdom.
authors.forename: C
authors.initials: C
authors.lastname: Mehta
authors.forename: T
authors.initials: T
authors.lastname: Jones
authors.forename: J V
authors.initials: JV
authors.lastname: De Giovanni
mesh_terms: D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D006328:Cardiac Catheterization / Q000295:instrumentation*; D002404:Catheterization; D002675:Child, Preschool; D018729:Fontan Procedure; D006325:Heart Atria / Q000601:surgery; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D010166:Palliative Care; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D015607:Stents; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000601:surgery
chemical_list: D011138:Polytetrafluoroethylene