Catheter takedown in the management of the acutely failing Fontan circulation

Ann Thorac Surg. 2011 Jul;92(1):346-8. doi: 10.1016/j.athoracsur.2011.01.040.

Abstract

The acutely failing Fontan circulation requires urgent management to decompress the systemic venous pressures and augment cardiac output. This may involve the use of extracorporeal membrane oxygenation support to preserve life. Catheter-based effective Fontan takedown is an alternative to surgery in these patients, who are acutely unstable, and offers the potential for an adjustable fenestration.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Catheterization / instrumentation
  • Cardiac Catheterization / methods*
  • Cardiac Output
  • Child, Preschool
  • Device Removal
  • Extracorporeal Membrane Oxygenation / methods
  • Follow-Up Studies
  • Fontan Procedure / adverse effects*
  • Fontan Procedure / methods
  • Humans
  • Hypoplastic Left Heart Syndrome / diagnosis
  • Hypoplastic Left Heart Syndrome / surgery*
  • Male
  • Postoperative Complications / diagnosis
  • Postoperative Complications / therapy*
  • Regional Blood Flow / physiology
  • Risk Assessment
  • Stents*
  • Treatment Failure
  • Treatment Outcome