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Asian Cardiovasc Thorac Ann 2007;15:e55-e57
© 2007 Asia Publishing EXchange Ltd


CASE STUDIES

Device Occlusion of Fontan Fenestration—an Economical Alternative

Rajasekaran Prem Sekar, MRCP, Kotturathu M Cherian, FRACS1

The Department of Pediatric Cardiology
1 Cardiothoracic Surgery, International Center for Cardio Thoracic and Vascular Diseases, Chennai, India

For reprint information contact: Rajasekaran Prem Sekar, MRCP, Tel: 91 44 2656 7200, Fax: 91 44 2656 5150, Email: premsekar{at}yahoo.com, The Department of Pediatric Cardiology, International Center for Cardio Thoracic and Vascular Diseases, R-30-C Ambattur Industrial Estate Road, Mogappair, Chennai 600101, India.

Fenestrating the Fontan circuit during total cavopulmonary anastomosis is commonly performed to reduce postoperative mortality and morbidity. The resulting systemic desaturation may progressively increase leading to symptoms. We report the case of a symptomatic eight year old, whose Fontan circuit fenestration was closed using a patent ductus arteriosus occluder. The marked improvement in the patient’s clinical status immediately and after 3 months confirms this device to be a safe, and economically better alternative to the atrial septal defect occluder.







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