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Novel use of covered stents to treat profound cyanosis in a hepatic vein exclusion Fontan


1 Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; University of Mississippi Medical Center, Jackson, Mississippi, USA
2 University of Mississippi Medical Center, Jackson, Mississippi, USA

Correspondence Address:
Dr. Sarosh P Batlivala
Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, MLC 2003, Cincinnati, Ohio 45229
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_125_18

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Year : 2019  |  Volume : 12  |  Issue : 1  |  Page : 60-63

 

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Fontan completion in patients with complex cardiac anatomy, and specifically heterotaxy syndrome, can present unique physiologic considerations. For example, existing venous connections may be “unmasked” after a cavopulmonary anastomosis operation. We present the case of a child with heterotaxy, dextrocardia, single-ventricle physiology, and anomalous hepatic venous drainage that resulted in profound shunting and cyanosis. We addressed the problem utilizing a novel strategy with a “fenestrated” covered stent.






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1 Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; University of Mississippi Medical Center, Jackson, Mississippi, USA
2 University of Mississippi Medical Center, Jackson, Mississippi, USA

Correspondence Address:
Dr. Sarosh P Batlivala
Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, MLC 2003, Cincinnati, Ohio 45229
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_125_18

Rights and Permissions

Fontan completion in patients with complex cardiac anatomy, and specifically heterotaxy syndrome, can present unique physiologic considerations. For example, existing venous connections may be “unmasked” after a cavopulmonary anastomosis operation. We present the case of a child with heterotaxy, dextrocardia, single-ventricle physiology, and anomalous hepatic venous drainage that resulted in profound shunting and cyanosis. We addressed the problem utilizing a novel strategy with a “fenestrated” covered stent.






[FULL TEXT] [PDF]*


        
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