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Restrictive atrial septum after the Fontan procedure

Published online by Cambridge University Press:  15 July 2015

Gemma Penford ,
Daniel Quandt  and
Oliver Stumper
Gemma Penford
Affiliation:
The Heart Unit, Birmingham Children’s Hospital, Birmingham, United Kingdom
Daniel Quandt
Affiliation:
The Heart Unit, Birmingham Children’s Hospital, Birmingham, United Kingdom
Oliver Stumper*
Affiliation:
The Heart Unit, Birmingham Children’s Hospital, Birmingham, United Kingdom
*
Correspondence to: Dr O. Stumper, MD, PhD, The Heart Unit, Birmingham Children’s Hospital, Steelhouse Lane, Birmingham B4 6NH, United Kingdom. Tel: +44 121 333 9442; Fax: +44 121 333 9441; E-mail: oliver.stumper@bch.nhs.uk
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Abstract

In this study, three patients presenting with early or late postoperative Fontan complications were identified to suffer from restriction of the native atrial septum. This caused significant obstruction to pulmonary venous return and elevated systemic venous pressure. Dobutamine stress testing was used in one patient to identify this lesion. Transcatheter stenting was performed in the other two patients. Patients improved after relief of the obstruction.

Keywords

Fontan procedurehypoplastic left heart syndromestentprotein-losing enteropathy

Information

Type
Brief Reports
Information
Cardiology in the Young , Volume 26 , Issue 3 , March 2016 , pp. 574 - 578
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Copyright
© Cambridge University Press 2015 

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