[Percutaneous closure of veno-venous fistulae after total cavopulmonary derivation: a case report]. / Fermeture percutanée de fistules veino-veineuses après dérivation cavo-pulmonaire totale: à propos d'un cas.
Arch Mal Coeur Vaiss
; 100(5): 474-7, 2007 May.
Article
em Fr
| MEDLINE
| ID: mdl-17646778
ABSTRACT
The authors report the case of a boy with a complex congenital heart malformation with a dextro-isomerism or Ivemark's syndrome. After several palliative procedures, a total cavopulmonary derivation was performed at the age of 11 years with implantation of a fenestrated tube between the inferior vena cava and the right pulmonary artery. The fenestration was closed two years later. At about 15 years of age, progressive systemic desaturation was observed; cardiac catheterisation with angiography showed a large number of intra-hepatic veno-venous collaterals draining into a large left suprahepatic vein which drained into the right atrium connected to the systemic ventricle. The largest fistula was embolised with a 20 mm Amplatzer Duct Occluder and two others with 14 x 12 and 10 x 8 Amplatzer Duct Occluders. The saturation rose from 75% to 94%. After 6 months' follow-up, the child is asymptomatic and the systemic saturation is 90%.
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Base de dados:
MEDLINE
Assunto principal:
Fístula Vascular
/
Derivação Cardíaca Direita
/
Embolização Terapêutica
/
Cardiopatias Congênitas
/
Veias Hepáticas
Idioma:
Fr
Ano de publicação:
2007
Tipo de documento:
Article