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Percutaneous transcatheter communication between the pulmonary artery and atrium following an extra‐cardiac Fontan
Author(s) -
Mehta C.,
Jones T.,
De Giovanni J.V.
Publication year - 2008
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/ccd.21453
Subject(s) - medicine , fenestration , percutaneous , cardiology , pulmonary artery , fontan procedure , artery , surgery , heart disease
In a nonfenestrated modified Fontan, transcatheter creation of a fenestration presents technical difficulties, especially with the extra‐cardiac modification where a Gore‐Tex tube is placed between the inferior caval vein and the pulmonary arteries. The authors describe an alternative approach to perforating the Gore‐Tex tube to create a fenestration by making a communication between the pulmonary artery and the atrial chamber, thus bridging the two circulations through native tissue. © 2008 Wiley‐Liss, Inc.