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Planned reduction in Fontan fenestration size using the Atrial Flow Regulator
E Oliver Aregullin1, Bennett Samuel1, Joseph Vettukattil1
1Congenital Heart Center, Helen DeVos Children's Hospital, Grand Rapids, Michigan, USA.
Abstract:
Fontan fenestration allows right-to-left shunting increasing cardiac output and oxygen delivery. Increased shunting occurs as cardiac function and ventricular end-diastolic pressures improve, potentially decreasing oxygen saturation. Complete closure may result in impaired Fontan haemodynamics and low cardiac output; however, there are no dedicated devices to reduce fenestration size. We describe Fontan fenestration size reduction using the Atrial Flow Regulator.
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