Transcatheter pulmonary embolectomy after fontan

transcatheter closure of fenestration after modified fontan operation in children

background: fenestration in the modified fontan operation allows right-to-left shunting, which reduces the fontan pathway pressure and improves cardiac output. however, on account of the fact that persistent right-to-left shunting results in cyanosis and paradoxical emboli, fenestration closure is recommended after recovery from the fontan operation. methods: this study recruited 3 patients who...

[Pulmonary thromboembolism after Fontan operation].

The fatal outcome in an eleven-year-old girl, one month after an extra-cardiac Fontan operation is reported. She was diagnosed with tricuspid atresia and had a Blalock Taussig shunt and a bidirectional Glenn procedure. The Fontan operation was performed using a Dacron conduit, fenestrated with a 6 mm Goretex tube. The first week after the operation she received low molecular weight heparin, the...

Transcatheter closure of antegrade pulmonary blood flow with Amplatzer septal occluder after Fontan operation

Transcatheter coil occlusion of residual interatrial communications after Fontan procedure.

OBJECTIVE To assess the use of detachable coils as an alternative method to occlude interatrial communications after Fontan operations. DESIGN Descriptive clinical study of selected patients after Fontan operation with interatrial communications inappropriate for transcatheter umbrella occlusion. SETTING Tertiary paediatric cardiac referral centre. PATIENTS Seven patients after Fontan ope...

Off-pump pulmonary embolectomy.

Pulmonary embolism is a common clinical condition associated with high mortality. Surgical pulmonary embolectomy (SPE), despite having been in existence for over 100 years, is generally regarded as an option of last resort with high mortality rates. Prompt recognition of predictors of mortality, such as right ventricular stress on echocardiography, helps decision-making for immediate surgical p...