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Late conduit occlusion after modified Fontan procedure with classic Glenn shunt
T C Koutlas1, J K Harrison, T M Bashore
1Department of Cardiology, Duke University Medical Center, Durham, North Carolina, USA.
Insights
Patients with complex congenital heart disease undergoing modified Fontan procedures may develop right atrial-to-right ventricular conduit occlusion. This report details operative management and alternative strategies for this complication in those with a patent classic Glenn shunt.
Area of Science:
- Cardiology
- Pediatric Cardiac Surgery
- Congenital Heart Disease
Background:
- Modified Fontan procedures are used to palliate complex congenital heart disease.
- Some patients initially palliated with a classic Glenn shunt subsequently require modified Fontan procedures.
- Occlusion of the right atrial-to-right ventricular conduit can occur in these patients.
Abstract:
A number of patients with complex congenital heart disease who were initially palliated with a classic Glenn shunt subsequently underwent modified Fontan procedures. This report discusses the operative management of complete occlusion of right atrial-to-right ventricular conduits in patients with patent classic Glenn shunts. The literature is reviewed regarding similar patients, and alternative treatment strategies are discussed.