Percutaneous management of cyanosis in Fontan patients using Amplatzer occluders

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Jozef MasuraTomaz Podnar

Abstract

To determine causes of cyanosis and to evaluate percutaneous management of cyanosis in a group of consecutive Fontan patients. A variety of communications allow a right-to-left shunt in Fontan circulation causing cyanosis and these communications are amenable to percutaneous closure. Between November 1997 and November 2007, 45 consecutive patients ranging in age from 2.5 to 26 years (median 8 years) with Fontan circulation and cyanosis underwent cardiac catheterization and percutaneous closure of superfluous communications using different types of Amplatzer occluders. Altogether, 51 communications were detected and 50 of them were closed. In 5 patients (11.1%), multiple communications were present and were closed. Fenestration was detected in 37 of 41 patients (90.2%) after total cavopulmonary connection and all were closed by Amplatzer septal occluders. Five venous collaterals were revealed in 3 of 41 patients (7.3%) with total cavopulmonary anastomosis and were closed by Amplatzer vascular plugs. In 3 patients, lateral tunnel leaks were detected and were closed by Amplatzer PFO occluders. In 4 patients after Kawashima operation, 3 major pulmonary arterio-venous malformations and single venous collateral contributed to the cya...Continue Reading

References

Dec 11, 1992·Circulation·N D BridgesA R Castaneda
Jun 1, 1995·Journal of the American College of Cardiology·N D BridgesA R Castaneda
Oct 24, 1998·Catheterization and Cardiovascular Diagnosis·Z M HijaziG Dorros
Aug 10, 2000·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·T RichensN Wilson
Sep 13, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·F RuedaL Ballerini
Dec 14, 2005·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·S L HillJ P Cheatham
Feb 28, 2006·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Gianfranco ButeraMario Carminati
Apr 11, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Jaana PihkalaLee N Benson

❮ Previous
Next ❯

Citations

Apr 30, 2014·Revista Española De Cardiología·Marta SantistebanJosé Suárez de Lezo
Mar 30, 2011·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Ryan R DaviesRalph S Mosca
Apr 12, 2011·Journal of Cardiothoracic and Vascular Anesthesia·Susan S Eagle, Suanne M Daves
Sep 1, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Christian WitzkeIgnacio Inglessis
Feb 25, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Steven HealanAtman P Shah
Nov 26, 2009·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Derize E BoshoffMarc Gewillig
Jul 2, 2019·Circulation·Jack RychikUNKNOWN American Heart Association Council on Cardiovascular Disease in the Young and Council on Cardiovascular and Stroke Nursing
Aug 14, 2020·Journal of Cardiac Surgery·William N EvansHumberto Restrepo
Jul 2, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Marie SchafsteddeStanislav Ovroutski

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.