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Novel uses of the Rashkind ductal umbrella in adults and children with congenital heart disease.
  1. A N Redington,
  2. M L Rigby
  1. Department of Paediatric Cardiology, Royal Brompton National Heart and Lung Hospital, London.


    OBJECTIVE--To show possible alternative uses of the Rashkind ductal umbrella. DESIGN--Descriptive study of selected, non-randomised patients; with specific congenital heart lesions other than an arterial duct. SETTING--A tertiary referral centre. PATIENTS--Nine patients with congenital heart lesions; four with interatrial communications after a fenestrated Fontan procedure two with large aortopulmonary collaterals, three with an unoperated ventricular septal defect. INTERVENTIONS--Placement of a Rashkind umbrella occluder as treatment for a haemodynamically important lesion. RESULTS--Successful placement with symptomatic and haemodynamic improvement in all. CONCLUSIONS--The Rashkind ductal umbrella may be used successfully to treat some patients with aortopulmonary collateral vessels, ventricular septal defects, and interatrial communications after the fenestrated Fontan procedure.

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