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Transcatheter Fontan completion using novel balloon and stent system
E Oliver Aregullin1, Bassel Mohammad Nijres1, Yasser Al-Khatib1
1Congenital Heart Center, Spectrum Health Helen DeVos Children's Hospital, Grand Rapids, Michigan, USA.
Summary
Transcatheter Fontan completion is an experimental procedure. This case study details its successful application in a 15-year-old patient who had previously failed surgical palliation without preconditioning.
Area of Science:
- Cardiology
- Interventional Cardiology
- Pediatric Cardiology
Background:
- Percutaneous interventions have advanced, yet transcatheter Fontan completion is still experimental.
- Non-surgical Fontan completion typically necessitates prior surgical preconditioning during palliation.
Observation:
- A 15-year-old male with a history of failed surgical Fontan palliation was considered for transcatheter Fontan completion.
- The patient had not undergone prior surgical preconditioning, a usual requirement for non-surgical completion.
- This presented a unique clinical scenario for evaluating transcatheter Fontan completion.
Findings:
- Transcatheter Fontan completion was successfully performed in this patient.
- The procedure was achieved without prior surgical preconditioning.
- This demonstrates the feasibility of transcatheter Fontan completion in select cases lacking previous surgical preparation.
Implications:
- This case suggests transcatheter Fontan completion may be a viable option even without prior surgical preconditioning.
- Further research is warranted to establish the safety and efficacy of this approach in broader patient populations.
- This could expand treatment options for complex single-ventricle physiology, potentially improving outcomes for Fontan patients.
