Occlusion of the levoatrial cardinal vein with Gianturco coils after Fontan operation
Alcibar, J.; Gómez, S.; Vitoria, Y.; Jiménez, A.; Peña, N.; Oñate, A.; Cabrera, A.; Martínez, P.
Revista Espanola de Cardiologia 52(9): 733-736
ISSN/ISBN: 0300-8932 PMID: 10523888 DOI: 10.1016/s0300-8932(99)74997-3
We report the case of a 6-year-old girl with mitral atresia, hypoplastic left ventricle with a large right ventricle from which the main vases flow with a normal relationship and pulmonary obstruction, in which a modified fenestrated Fontan procedure with Gore-Tex baffle was performed. In the course of the treatment she developed cyanosis and a significant desaturation related to the presence and development of a levoatrial cardinal vein which was treated effectively using Gianturco coils with a good latter evolution. We discuss the possibilities of right-to-left shunting post Fontan procedure, percutaneous treatment as an alternative to surgery, the technique and angiographic characteristics of this case.