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Stent implantation to create interatrial communications in patients with complex congenital heart disease
Author(s) -
Pedra Carlos A.C.,
Pihkala Jaana,
Benson Lee N.,
Freedom Robert M.,
Nykanen David
Publication year - 1999
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/(sici)1522-726x(199907)47:3<310::aid-ccd11>3.0.co;2-9
Subject(s) - medicine , cardiology , stent , heart disease , interatrial septum , interventional cardiology , radiology , left atrium , atrial fibrillation
A restrictive interatrial communication can complicate the management of complex congenital heart disease. The purpose of this report is to present a new technique to achieve a patent and reliable interatrial communication by using an endovascular stent. A stent was successfully implanted across a fenestrated extracardiac conduit in two patients with low cardiac output after Fontan operations and across the interatrial septum in a patient with double inlet left ventricle and severe left atrioventricular stenosis. The procedures were uncomplicated and all patients showed immediate hemodynamic improvement. Cathet. Cardiovasc. Intervent. 47:310–313, 1999. © 1999 Wiley‐Liss, Inc.