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Recanalisation of the left superior caval vein after Fontan procedure: not so rare complication: possibilities of percutaneous closure using various devices

Published online by Cambridge University Press:  04 April 2014

Jacek Kusa ,
Leslaw Szydlowski ,
Ewa Nowakowska  and
Agnieszka Skierska
Jacek Kusa*
Affiliation:
Department of Paediatric Cardiology, Medical University of Silesia, ul. Medyków, Poland
Leslaw Szydlowski
Affiliation:
Department of Paediatric Cardiology, Medical University of Silesia, ul. Medyków, Poland
Ewa Nowakowska
Affiliation:
Department of Paediatric Cardiology, Medical University of Silesia, ul. Medyków, Poland
Agnieszka Skierska
Affiliation:
Department of Paediatric Cardiology, Medical University of Silesia, ul. Medyków, Poland
*
Correspondence to: J. Kusa, Department of Paediatric Cardiology, Medical University of Silesia, 40-752 Katowice, ul. Medyków 16, Poland. Tel:+48 600 525 814; Fax:+48 32 2071854; E-mail: jkusa@poczta.onet.pl
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Abstract

Aim: Evaluation of possibilities of percutaneous closure of recanalised left superior caval vein after total cavopulmonary connection. Methods and Results: We analysed 19 patients after total cavopulmonary connection catheterised because of a sudden increase of desaturation. In four of them, the recanalisation of the left superior caval vein was identified. For this reason, the balloon occlusion tests of the veins were made temporarily. In all cases, the haemodynamic status of patients did not change, and arterial oxygen saturation increased significantly. Thus, using different types of implants, these veins were closed effectively in all patients. During the short-term follow-up, the effectiveness of treatments and constantly maintaining a high level of saturation were confirmed. Conclusions: Meticulous investigation of unclear causes of desaturation in cyanotic patients after Fontan completion is necessary. Almost all causes of desaturation, including recanalised additional left superior caval vein, can be effectively treated percutaneously.

Keywords

Transcatheter interventionsingle ventricleleft superior vena cava
Type
Original Articles
Information
Cardiology in the Young , Volume 25 , Issue 3 , March 2015 , pp. 485 - 490
Copyright
© Cambridge University Press 2014 

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