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Heart 79:624-626 doi:10.1136/hrt.79.6.624
  • Case report

Transcatheter occlusion of a post-Fontan residual hepatic vein to pulmonary venous atrium communication using the Amplatzer septal occluder

  1. M Tofeig,
  2. K P Walsh,
  3. R Arnold
  1. Heart Clinic, Alder Hey Children’s Hospital, Eaton Road, Liverpool L12 2AP, UK
  1. Dr Tofeig.
  • Accepted 6 February 1998

Abstract

A residual hepatic vein to left atrial communication may result in progressive cyanosis after the Fontan procedure. This problem has usually been treated surgically by ligation or re-inclusion of the residual hepatic vein in the Fontan circulation. Previous attempts at transcatheter closure of such veins have been unsuccessful. An Amplatzer septal occluder was successfully used for transcatheter closure of a post-Fontan hepatic vein to pulmonary venous atrium fistula in an 8 year old boy.

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