Use of Amplatzer occlusion devices to occlude Fontan baffle leaks during fenestration closure procedures

The authors describe the use of Amplatzer occlusion devices to successfully occlude Fontan baffle leaks in three patients. These additional right to left shunts were recognized at the time of elective transcatheter closure of surgically created fenestrations. A common site of baffle leak is describe...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2008-02, Vol.71 (2), p.244-249
Main Authors: Crowley, David I., Donnelly, Jon P.
Format: Article
Language:English
Subjects:
Cardiac Catheterization
Child
Child, Preschool
Embolism, Paradoxical - prevention & control
embolization
Female
fistula/shunts
Fontan Procedure - adverse effects
Fontan Procedure - methods
Heart Defects, Congenital - surgery
Humans
Hypoplastic Left Heart Syndrome - surgery
Male
pediatric interventions
Postoperative Complications - prevention & control
Prostheses and Implants
Prosthesis Implantation
Reoperation
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Description
Summary:The authors describe the use of Amplatzer occlusion devices to successfully occlude Fontan baffle leaks in three patients. These additional right to left shunts were recognized at the time of elective transcatheter closure of surgically created fenestrations. A common site of baffle leak is described at the base of the right atrial appendage. This suture line serves to exclude the right atrial appendage from Fontan baffle flow and lies within the corrugated surface of the pectinate muscles, making it particularly vunerable to baffle leaks over time. © 2008 Wiley‐Liss, Inc.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.21328