Transcatheter closure of fenestration with detachable coils after the Fontan operation.

Abstract:

:We report our experience in 13 patients who underwent transcatheter closure of Fontan fenestration with the Cook detachable coils. These patients underwent the extracardiac type Fontan operation with a short conduit fenestration (n=7) or lateral tunnel type with a punch-hole fenestration (n=6). Fenestration closure was done at the mean age of 5.1+/-2.4 yr, average of 32 months after the Fontan operation. We used one to three coils depending on the fenestration type, size, and residual shunt. Aortic oxygen saturations increased by an average of 5.4 (2-9)% and mean pressures in the Fontan circuit increased by an average of 2.1 (0-6) mmHg. During follow-up (median of 23 months), five patients (4 in extracardiac, 1 in lateral tunnel) had complete occlusion of the fenestration on echocardiography. There was no immediate or late complication. Transcatheter closure of fenestration in Fontan operation using the Cook detachable coil is a safe and feasible technique. However, the coil was ineffective for closure of a punch-hole fenestration in the lateral tunnel type operation. In the conduit type fenestration, some modification of fenestration method instead of a short conduit for coil closure or use of new device is necessary to increase complete closure rate.

journal_name

J Korean Med Sci

authors

Kim SH,Kang IS,Huh J,Lee HJ,Yang JH,Jun TG

doi

10.3346/jkms.2006.21.5.859

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

859-64

issue

5

eissn

1011-8934

issn

1598-6357

pii

200610859

journal_volume

21

pub_type

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