title: Severely regurgitant left ventricle to ascending aorta conduit in a failing fontan patient treated with a vascular endograft and melody transcatheter pulmonary valve via hybrid approach.
abstract: A 28-year-old male with single ventricular heart disease status post Fontan palliation and subsequent placement of left ventricle to ascending aorta (LV-AAo) valved conduit developed ascites and edema. Diagnostic catheterization revealed elevated ventricular end diastolic pressures (EDP) secondary to severe LV-AAo conduit regurgitation. Given the unique anatomy, surgical access via the right axillary artery provided optimal route for transcatheter valve implantation within the conduit. The procedure resulted in significant hemodynamic improvement with no complications. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Department of Pediatric Cardiology, Nationwide Children's Hospital, Columbus, Ohio.
authors.forename: Brian A
authors.initials: BA
authors.lastname: Boe
authors.affiliation: Division of Vascular & Endovascular Surgery, UT Southwestern Medical Center, Dallas, Texas.
authors.forename: John E
authors.initials: JE
authors.lastname: Rectenwald
authors.affiliation: Division of Pediatric Cardiology, Department of Pediatrics and Communicable Diseases, University of Michigan C.S. Mott Children's Hospital Congenital Heart Center, Ann Arbor, Michigan.
authors.forename: Martin L
authors.initials: ML
authors.lastname: Bocks
mesh_terms: D000328:Adult; D001027:Aortography; D001705:Bioprosthesis; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D006328:Cardiac Catheterization / Q000295:instrumentation* / Q000379:methods; D057510:Endovascular Procedures / Q000295:instrumentation* / Q000379:methods; D018729:Fontan Procedure / Q000009:adverse effects*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D006439:Hemodynamics; D006801:Humans; D008297:Male; D010166:Palliative Care; D011356:Product Labeling; D011475:Prosthesis Failure; D011664:Pulmonary Valve / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000637:transplantation*; D012086:Reoperation; D012307:Risk Factors; D016896:Treatment Outcome; D016277:Ventricular Function, Left; D014694:Ventricular Outflow Obstruction / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*
keywords: congenital catheterization; intervention; valve implantation