Thrombosis of an extracardiac Fontan tunnel: combined treatment of thrombolysis and stenting.
Obstruction of the so-called Fontan tunnel represents a life-threatening complication and requires immediate intervention. We describe the successful use of prolonged thrombolysis with rt-PA, allowing stent placement in an extracardiac tunnel in a 7-year-old boy.
Rauch
Ralf
R
Department of Paediatric Cardiology, University Hospital for Children and Adolescents, Tuebingen, Germany. ralfrauch@gmx.de
Sieverding
Ludger
L
Hofbeck
Michael
M
D002404:Catheterization / Q000295:instrumentation*; D002648:Child; D003131:Combined Modality Therapy; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D018729:Fontan Procedure / Q000009:adverse effects*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D011994:Recombinant Proteins / Q000008:administration & dosage; D015607:Stents; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage*; D016896:Treatment Outcome
D005343:Fibrinolytic Agents; D011994:Recombinant Proteins; D010959:Tissue Plasminogen Activator