TRANSCATHETER CLOSURE OF FENESTRATION AFTER MODIFIED FONTAN OPERATION IN CHILDREN

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MERAJI S.M.; NAKHOSTIN DAVARI P.; AARABI M.Y.; SHAH MOHAMMADI A.A.; MORTEZAEIAN H.; EMAM ZADEGAN R.

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Journal Paper

Paper Information

Journal: THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER Year:2008 | Volume:3 | Issue:1 Page(s): 39-42

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Title

TRANSCATHETER CLOSURE OF FENESTRATION AFTER MODIFIED FONTAN OPERATION IN CHILDREN

Author(s)

Keywords

FONTAN PROCEDURE

CATHETERIZATION

AMPLATZER

Abstract

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 underwent the transcatheter closure of the Fontan fenestration with the ASD-Amplatzer because of severe cyanosis and significant intracardiac shunts. Results: Fenestration closure was performed at a mean age of 8 yr (6-12 yr) and average of 15 months after the Fontan operation. Aortic O2 saturation increased by an average of 17.6% (9-26%). During more than a two-year period of follow-up (mean: 27 months), two patients had complete occlusion on echocardiography and the other one had a small residual shunt. One of these patients had atrial flutter during the follow-up. Conclusion: The transcatheter closure of the Fontan fenestration is a safe and feasible technique that is effective in elevating systemic O2 saturation and well-being and confers acceptable growth and development in children.

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APA: Copy

MERAJI, S.M., NAKHOSTIN DAVARI, P., AARABI, M.Y., SHAH MOHAMMADI, A.A., MORTEZAEIAN, H., & EMAM ZADEGAN, R.. (2008). TRANSCATHETER CLOSURE OF FENESTRATION AFTER MODIFIED FONTAN OPERATION IN CHILDREN. THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER, 3(1), 39-42. SID. https://sid.ir/paper/301876/en

Vancouver: Copy

MERAJI S.M., NAKHOSTIN DAVARI P., AARABI M.Y., SHAH MOHAMMADI A.A., MORTEZAEIAN H., EMAM ZADEGAN R.. TRANSCATHETER CLOSURE OF FENESTRATION AFTER MODIFIED FONTAN OPERATION IN CHILDREN. THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER[Internet]. 2008;3(1):39-42. Available from: https://sid.ir/paper/301876/en

IEEE: Copy

S.M. MERAJI, P. NAKHOSTIN DAVARI, M.Y. AARABI, A.A. SHAH MOHAMMADI, H. MORTEZAEIAN, and R. EMAM ZADEGAN, “TRANSCATHETER CLOSURE OF FENESTRATION AFTER MODIFIED FONTAN OPERATION IN CHILDREN,” THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER, vol. 3, no. 1, pp. 39–42, 2008, [Online]. Available: https://sid.ir/paper/301876/en

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