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Transcatheter reduction of a large, stented fenestration in a paediatric patient post-Fontan palliation

Published online by Cambridge University Press:  20 June 2025

Judyta Szeliga Open the ORCID record for Judyta Szeliga [Opens in a new window] ,
Maksym Lazu Open the ORCID record for Maksym Lazu [Opens in a new window]  and
Sebastian Góreczny Open the ORCID record for Sebastian Góreczny [Opens in a new window]
Judyta Szeliga
Affiliation:
Department of Paediatric Cardiology, University Children’s Hospital, Jagiellonian University Medical College, Krakow, Poland
Maksym Lazu
Affiliation:
Department of Paediatric Cardiology, University Children’s Hospital, Jagiellonian University Medical College, Krakow, Poland
Sebastian Góreczny*
Affiliation:
Department of Paediatric Cardiology, University Children’s Hospital, Jagiellonian University Medical College, Krakow, Poland
*
Corresponding author: Sebastian Góreczny; Email: sebastian.goreczny@uj.edu.pl
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Abstract

Staged Fontan pathway treatment is a recognised surgical approach for managing congenital heart lesions with single ventricle physiology. Some patients necessitate communication between the tunnel and the atrium to maintain circulatory balance. During follow-up, adjustments to fenestration size may be required. While methods for enlarging or completely closing fenestrations are common, partially reducing flow through a fenestration remains challenging. We present an effective technique for partially reducing the size of a large, stented fenestration using a coronary stent and a vascular occluder.

Keywords

CHDsFontan procedureFailing fontanFenestrationpercutaneous interventionsreduction of stented fenestration

Information

Type
Brief Report
Information
Cardiology in the Young , Volume 35 , Issue 5 , May 2025 , pp. 1082 - 1084
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Copyright
© The Author(s), 2025. Published by Cambridge University Press

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References

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