Key result
Use of an Amplatzer ductal occluder to close a reopened left superior caval vein after a total cavopulmonary anastomosis was safe and successful in a 7-year-old boy.
Case Report (n=1)
An Amplatzer ductal occluder can be safely and successfully used to close a reopened left superior caval vein after a total cavopulmonary anastomosis.
May offer a percutaneous option in select post-Fontan cases; leaves open need for larger series on safety and durability.
A 7-year-old boy developed increasing cyanosis after a total cavopulmonary connection with a 3 mm fenestration in the baffle. Catheterisation performed 4 years and 7 months after the operation showed reopening of a left superior caval vein draining into the pulmonary venous atrium. Due to the large size of the left superior caval vein, and the absence of intrinsic stenosis, we chose to use an Amplatzer ductal device to occlude the reopened vein. The procedure was safe and successful.
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Seghaye et al. (2002) conducted a case report in Reopened left superior caval vein after total cavopulmonary anastomosis (n=1). Amplatzer ductal occluder was evaluated on Procedural safety and success. Use of an Amplatzer ductal occluder to close a reopened left superior caval vein after a total cavopulmonary anastomosis was safe and successful in a 7-year-old boy.
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