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Transhepatic closure of a post-fontan hepatic veins to left atrium fenestration in visceral heterotaxia and dextrocardia.

Abstract
This article reports on the transhepatic closure of post-Fontan hepatic veins to left atrium fenestration in a 13-year-old girl with left atrial isomerism, dextrocardia, azygos continuation to the left superior vena cava, and median liver. The transhepatic route seemed to be the less tortuous access to the fenestration which was previously partially occluded with a CardioSeal device. The hepatic veins were entered at the left abdominal side using fluoroscopic guidance and the fenestration was uneventfully occluded with an Amplatzer septal occluder device.
AuthorsZakhia Saliba, Younes Boudjemline, Philippe Acar, Ana Hausse, Daniel Sidi, Philipp Bonhoeffer
JournalJournal of interventional cardiology (J Interv Cardiol) Vol. 15 Issue 3 Pg. 215-7 (Jun 2002) ISSN: 0896-4327 [Print] United States
PMID12141148 (Publication Type: Case Reports, Journal Article)
Topics
  • Adolescent
  • Cardiac Catheterization (methods)
  • Dextrocardia (surgery)
  • Female
  • Fontan Procedure (adverse effects)
  • Heart Atria (abnormalities, surgery)
  • Hepatic Veins (surgery)
  • Humans
  • Postoperative Complications (therapy)
  • Prostheses and Implants
  • Pulmonary Veins
  • Reoperation
  • Treatment Outcome
  • Vascular Fistula (therapy)

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