Work

Percutaneous Fontan by inferior vena cava banding and subsequent creation of an intraatrial stent-conduit: a clinical renaissance of a less invasive approach?

Year: 2025

Type: article

Abstract: INTRODUCTION: Although first performed several years ago, percutaneous total cavopulmonary connection has not yet become a widely adopted procedure in patients with univentricular circulation. METHODS AND OBJECTIVES: We describe a case involving a novel, modified technique for the percutaneous completion of the Fontan circulation using covered stents in a 12 kg patient. RESULTS: The transcatheter Fontan completion was successfully performed. Minimal surgical preparation included banding of the inferior vena cava during the preceding superior cavopulmonary connection. Using needle puncture to create the anastomosis and implanting covered stents, a total cavopulmonary connection with an intra-atrial tunnel was established. The patient recovered uneventfully. CONCLUSION: Percutaneous total cavopulmonary connection is feasible and may represent a less invasive alternative for selected patients. However, data on this approach are currently very limited, and further studies are urgently needed.

Source: Cardiology in the Young

DOI: 10.1017/s1047951125109955

Authors: Stanimir Georgiev, Katarzyna Karolina Gendera, Janez Vodiskar, Jürgen Hörer, Peter Ewert

Institutions: Deutsches Herzzentrum München, Technical University of Munich, Ludwig-Maximilians-Universität München

Language: English

Topic: Congenital Heart Disease Studies

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,550