Fontan Revision: Presurgical Planning Using Four-Dimensional (4D) Flow and Three-Dimensional (3D) Printing

Pulmonary arteriovenous malformations (AVMs) can be a complication of certain postoperative Fontan patients whose hepatic venous blood return is not distributed evenly to both lungs. A ten-year-old female, who had previously undergone staged single ventricle palliation for complex congenital heart d...

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Veröffentlicht in:World journal for pediatric & congenital heart surgery 2019-03, Vol.10 (2), p.245-249
Hauptverfasser: Carberry, Thomas, Murthy, Raghav, Hsiao, Albert, Petko, Colin, Moore, John, Lamberti, John, Hegde, Sanjeet
Format: Artikel
Sprache:eng
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Zusammenfassung:Pulmonary arteriovenous malformations (AVMs) can be a complication of certain postoperative Fontan patients whose hepatic venous blood return is not distributed evenly to both lungs. A ten-year-old female, who had previously undergone staged single ventricle palliation for complex congenital heart disease, underwent a Fontan revision due to significant left-sided pulmonary AVMs and increasing arterial oxygen desaturation. The combination of four-dimensional flow cardiac magnetic resonance imaging and three-dimensional printing enabled presurgical planning for a Fontan takedown and diversion of hepatic venous flow to the azygous vein that resulted in significant clinical improvement.
ISSN:2150-1351
2150-136X
DOI:10.1177/2150135118799641