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Severe conduit stenosis in a patient with Fontan circulation with a Y-shaped Dacron conduit

Part of: Advanced Imaging

Published online by Cambridge University Press:  08 April 2021

Daiji Takajo Open the ORCID record for Daiji Takajo [Opens in a new window] ,
Preetha L. Balakrishnan  and
Sanjeev Aggarwal
Daiji Takajo*
Affiliation:
Department of Pediatrics, Children’s Hospital of Michigan, Detroit, MI, USA
Preetha L. Balakrishnan
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Children’s Hospital of Michigan, Detroit, MI, USA
Sanjeev Aggarwal
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Children’s Hospital of Michigan, Detroit, MI, USA
*
Author for correspondence: D. Takajo, MD, Department of Pediatrics, Children’s Hospital of Michigan, 3901 Beaubien Boulevard, Detroit, MI48201, USA. Tel: +745 1892; Fax: +993 7118. E-mail: dt1449@gmail.com
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Abstract

Conduit stenosis is a major, albeit rare, complication following the Fontan palliation. A single-baffle conduit with polytetrafluoroethylene is widely used for an extracardiac type Fontan palliation. A polyethylene terephthalate conduit (Dacron) is sometimes used for the conduit when more flexibility is required. A Y-shaped conduit is rarely used, but it may reduce the energy loss and achieve better hepatic flow distribution. Data on the long-term patency and complications when using a Y-shaped Dacron conduit is lacking. We report a case of a severely stenotic Y-shaped Dacron conduit in a patient who underwent extracardiac Fontan palliation.

Keywords

Fontan palliationY-shapedDacronpolyethylene terephthalateconduitstenosis
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 10 , October 2021 , pp. 1693 - 1695
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

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