scholarly journals Radiofrequency catheter ablation as a treatment option in a patient with hypoplastic left heart syndrome and atrial flutter after Fontan operation—Case report

2021 ◽  
Author(s):  
Marta Jagosz ◽  
Wiktoria Kowalska ◽  
Radosław Lenarczyk ◽  
Mateusz Knop ◽  
Roland Fiszer ◽  
...  

2017 ◽  
Vol 33 (10) ◽  
pp. S97
Author(s):  
S. Fusnik ◽  
T. Bradley ◽  
A. Kakadekar ◽  
S. Pharis ◽  
C. Pockett ◽  
...  


2020 ◽  
Vol 57 (6) ◽  
pp. 1098-1104
Author(s):  
Katarzyna Januszewska ◽  
Pawel Nawrocki ◽  
Anja Lehner ◽  
Julia Stegger ◽  
Felix Kleinerueschkamp ◽  
...  

Abstract OBJECTIVES The right ventricle-to-pulmonary artery (RV-PA) shunt provides stable haemodynamics after the Norwood procedure but can influence development of the central pulmonary arteries (PAs). The goal of this study was to analyse the geometry of the central PAs in children with hypoplastic left heart syndrome before the Fontan operation with respect to the RV-PA shunt site and the type of the second-stage operation. METHODS A total of 161 children with hypoplastic left heart syndrome, median age 2.7 (range 1.3–9.8) years and median weight 12.7 (range 7.6–26.1) kg, underwent the Fontan operation after having had the Norwood procedure with an RV-PA shunt. The patients were divided into 2 groups: left-sided RV-PA (L-RV-PA) (n = 129) with the shunt on the left and right-sided RV-PA (n = 32) with the shunt on the right side of the neoaorta. Angiographic data obtained before the Fontan and all cardiac catheterization interventions were analysed retrospectively. RESULTS Between the second and third stages, as well as directly before the Fontan operation, the L-RV-PA group required more PA catheter interventions (P = 0.001 and P = 0.03). In this group, the minimal left PA diameter was smaller than that in the R-RV-PA group (P = 0.021). Leaving the shunt open until the Fontan operation increased the rate of PA interventions in the L-RV-PA group (P = 0.001), but there is no evidence of the impact on the development of the left PAs (P = 0.075). There is also no evidence that the type of the second-stage procedure influences the intervention rate before the Fontan procedure (P = 0.14). CONCLUSIONS Children who have the L-RV-PA shunt require more PA catheter interventions. The right-sided RV-PA shunt and the subsequent Glenn anastomosis in the place of the shunt are associated with distortion-free and more symmetrical development of the central PAs.



2004 ◽  
Vol 128 (2) ◽  
pp. 315-316 ◽  
Author(s):  
Narutoshi Hibino ◽  
Yorikazu Harada ◽  
Takeshi Hiramatsu ◽  
Satoshi Yasukochi ◽  
Gengi Satomi


2016 ◽  
Vol 33 (12) ◽  
pp. 1897-1902 ◽  
Author(s):  
David J. Goldberg ◽  
Benjamin French ◽  
Anita L. Szwast ◽  
Michael G. McBride ◽  
Stephen M. Paridon ◽  
...  


2010 ◽  
Vol 32 (2) ◽  
pp. 160-166 ◽  
Author(s):  
Victor Bautista-Hernandez ◽  
Mark Scheurer ◽  
Ravi Thiagarajan ◽  
Joshua Salvin ◽  
Frank A. Pigula ◽  
...  


2017 ◽  
Vol 33 (3) ◽  
pp. 197-201
Author(s):  
Hidenori Hayashi ◽  
Koichi Sughimoto ◽  
Yuta Tsuchida ◽  
Tsuyoshi Yoshii ◽  
Shin Kondo ◽  
...  






Sign in / Sign up

Export Citation Format

Share Document