Two problems and a single solution: Covered stent implantation to close an anterograde pulmonary flow and treat hypoplastic left pulmonary artery after Fontan operation.
Several issues may impact on the function of a Fontan circulation including accessory source of pulmonary blood flow and pulmonary artery anatomy. Here we report on a 5.5-year-old boy who showed failing Fontan circulation due to left pulmonary artery stenosis/hypoplasia and significant forward pulmonary blood flow through the native pulmonary artery. Successful implantation of a 34-mm CP covered stent in the left pulmonary artery in a Fontan patient was useful for simultaneous successful treatment of residual antegrade flow from the systemic ventricle to the pulmonary artery and enlargement of hypoplastic left pulmonary artery. © 2015 Wiley Periodicals, Inc.
Pediatric Cardiology and GUCH Unit, Policlinico San Donato IRCCS, Milan, Italy.
Gianfranco
G
Butera
Department of Cardiology, Cardiology, Tanta University, Tanta, Egypt.
Fatma
F
Taha
D000792:Angiography; D006328:Cardiac Catheterization; D020099:Coated Materials, Biocompatible; D018729:Fontan Procedure / Q000379:methods*; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D007223:Infant; D008297:Male; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011652:Pulmonary Circulation / Q000502:physiology*; D015607:Stents
D020099:Coated Materials, Biocompatible
Fontan failure; Fontan operation; covered stent; pulmonary artery