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A novel and unique treatment of right ventricular inflow obstruction in a patient with a Bjork modification of the Fontan palliation before pregnancy

  • Charles J. T. Butcher (a1), Carla M. Plymen (a1) and Fiona Walker (a1)

Abstract

Introduction

Patients with complex congenital cardiac disease are increasingly surviving to adulthood and many are keen to consider pregnancy. Haemodynamic status should be optimal prior to embarking on pregnancy and for some this may mean surgical intervention to alleviate haemodynamic residua.

Methods

We report the successful implantation of a percutaneous pulmonary stent valve into a right atrial to right ventricular conduit in a young woman with a Bjork modification of the Fontan palliation to improve haemodynamics prior pregnancy.

Discussion

Catheter interventions offer a low-risk option for the treatment of haemodynamic residua and innovative use of new technologies such as the pulmonary stent valve presents a novel, safe, and effective treatment for such conduit problems.

Copyright

Corresponding author

Correspondence to: Dr F. Walker, Consultant Adult Congenital Cardiology, The Heart Hospital, University College London Hospitals NHS Foundation Trust, 16-18 Westmoreland Street, London W1G 8PH. Tel: +0207 573 8888; Fax: +0207 573 8807; E-mail: Fiona.walker@uclh.nhs.uk

References

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1. Robson, SC, Hunter, S, Boys, RJ, Dunlop, W. Serial study of factors influencing changes in cardiac output during human pregnancy. Am J Physiol 1989; 256: 10601065.
2. Khambadkone, S, Coats, L, Taylor, A, et al. Percutaneous pulmonary valve inmplantation in humans: results in 59 consecutive patients. Circulation 2005; 112: 11891197.
3. Lutter, G, Ardehali, R, Cremer, J, Bonhoeffer, P. Percutaneous valve replacement: current state and future prospects. Ann Thorac Surg 2004; 78: 21992206.

Keywords

A novel and unique treatment of right ventricular inflow obstruction in a patient with a Bjork modification of the Fontan palliation before pregnancy

  • Charles J. T. Butcher (a1), Carla M. Plymen (a1) and Fiona Walker (a1)

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