title: Perventricular closure of pulmonary stump in a 16-kg child.
abstract: Blind pouch formation of the pulmonary artery (PA) in patients having undergone a Fontan operation can present a serious risk for thromboembolic events. Either primary or secondary closure of this stump is necessary to reduce this risk. Unfortunately, secondary closure is oftentimes difficult due to the size and anatomy of the presenting patient. We describe the insertion of a muscular ventricular septal defect (VSD) device via a perventricular approach for successful closure of a pulmonary stump in a 3-year old, 16-kg child. To our knowledge, this is the first report of a perventricular approach for successful closure of a PA stump.
authors.affiliation: Department of Pediatrics, Georgia Regents University, Children's Medical Center, Augusta, Georgia.
authors.forename: Scott
authors.initials: S
authors.lastname: Darby
authors.forename: Michel
authors.initials: M
authors.lastname: Ilbawi
authors.forename: Zahid
authors.initials: Z
authors.lastname: Amin
mesh_terms: D001835:Body Weight; D006348:Cardiac Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D002675:Child, Preschool; D002932:Cineangiography; D017548:Echocardiography, Transesophageal; D018729:Fontan Procedure / Q000009:adverse effects*; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008026:Ligation; D011474:Prosthesis Design; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D012086:Reoperation; D055989:Septal Occluder Device; D016896:Treatment Outcome
keywords: Fontan operation; pediatric interventions; single ventricle