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Cardiac MRI for Fontan candidates after intrapulmonary-artery septation

Published online by Cambridge University Press:  08 June 2022

Motonori Ishidou Open the ORCID record for Motonori Ishidou [Opens in a new window] ,
Keisuke Sato  and
Kisaburo Sakamoto
Motonori Ishidou*
Affiliation:
Department of Cardiovascular Surgery, Mt. Fuji Shizuoka Children’s Hospital, Shizuoka City, Shizuoka, Japan
Keisuke Sato
Affiliation:
Department of Cardiology, Mt. Fuji Shizuoka Children’s Hospital, Shizuoka City, Shizuoka, Japan
Kisaburo Sakamoto
Affiliation:
Department of Cardiovascular Surgery, Mt. Fuji Shizuoka Children’s Hospital, Shizuoka City, Shizuoka, Japan
*
Author for correspondence: Motonori Ishidou, MD, Department of Cardiovascular Surgery, Mt. Fuji Shizuoka Children’s Hospital, Urushiyama 860, Aoi-ku, Shizuoka City, Shizuoka 420-8660, Japan. Tel: 054-247-6251; E-mail: i5180835@yahoo.co.jp
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Abstract

Intrapulmonary-artery septoplasty may be effective for establishing two-lung Fontan circulation in patients with unilateral pulmonary circulation. However, evaluation of the function of each lung by conventional modalities can be challenging in these patients due to differing sources of blood flow to the left and right lungs following intrapulmonary-artery septation. Herein, we report a case in which two-lung Fontan circulation was successfully achieved after using cardiac MRI along with conventional modalities to evaluate pulmonary circulation.

Keywords

Intrapulmonary-artery septationcardiac magnetic resonanceFontan procedure
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 2 , February 2023 , pp. 325 - 327
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

Fontan, F, Baudet, E. Surgical repair of tricuspid atresia. Thorax. 1971; 26: 240–248.CrossRefGoogle ScholarPubMed
Knott-Craig, CJ, Danielson, GK, Schaff, HV, et al. The modified Fontan operation. An analysis of risk factors for early postoperative death or takedown in 702 consecutive patients in one institution. J Thorac Cardiovasc Surg. 1995; 109: 1237–1243.CrossRefGoogle ScholarPubMed
Masuda, M, Kado, H, Shiokawa, Y, et al. Clinical results of the staged Fontan procedure in high-risk patients. Ann Thorac Surg. 1998; 65: 1721–1725.CrossRefGoogle ScholarPubMed
Tachi, M, Murata, M, Ide, Y, et al. Efficacy of the, intrapulmonary-artery septation, surgical approach for Fontan candidates with unilateral pulmonary arterial hypoplasia. Eur J Cardiothorac Surg 2016; 49: 183–187.CrossRefGoogle ScholarPubMed
Ishidou, M, Ota, K, Watanebe, K, et al. Impact of intrapulmonary-artery septation to pulmonary vein obstruction for two-lung Fontan. Eur J Cardiothorac Surg. 2020; 58: 177–185.CrossRefGoogle ScholarPubMed
Beerbaum, P, Körperich, H, Barth, P, et al. Noninvasive quantification of left-to-right shunt in pediatric patients: phase-contrast cine magnetic resonance imaging compared with invasive oximetry. Circulation. 2001; 103: 2476–2482.CrossRefGoogle ScholarPubMed
Bell, A, Beerbaum, P, Greil, G, et al. Noninvasive assessment of pulmonary artery flow and resistance by cardiac magnetic resonance in congenital heart diseases with unrestricted left-to-right shunt. JACC Cardiovasc Imaging. 2009; 2: 1285–1291.CrossRefGoogle ScholarPubMed