Cardiac MRI for Fontan candidates after intrapulmonary-artery septation

Cardiol Young. 2023 Feb;33(2):325-327. doi: 10.1017/S1047951122001810. Epub 2022 Jun 8.

Abstract

Intrapulmonary-artery septoplasty may be effective for establishing two-lung Fontan circulation in patients with unilateral pulmonary circulation. However, evaluation of the function of each lung by conventional modalities can be challenging in these patients due to differing sources of blood flow to the left and right lungs following intrapulmonary-artery septation. Herein, we report a case in which two-lung Fontan circulation was successfully achieved after using cardiac MRI along with conventional modalities to evaluate pulmonary circulation.

Keywords: Fontan procedure; Intrapulmonary-artery septation; cardiac magnetic resonance.

MeSH terms

  • Fontan Procedure*
  • Heart Defects, Congenital* / diagnostic imaging
  • Heart Defects, Congenital* / surgery
  • Hemodynamics
  • Humans
  • Magnetic Resonance Imaging
  • Pulmonary Artery / diagnostic imaging
  • Pulmonary Artery / surgery
  • Pulmonary Circulation / physiology