Catheter-Based Fontan Completion Without Prior Surgical Preparation: Is This the Way Forward?

Muthukumaran Chinnasamy Sivaprakasam; Rajaguru Ganesan; Ramkishore S; Saranya A; Haritha Girija; Arun V; Mahitha V; Neville Solomon

doi:10.1016/j.jaccas.2024.102657

Catheter-Based Fontan Completion Without Prior Surgical Preparation: Is This the Way Forward?

JACC Case Rep. 2024 Nov 6;29(21):102657. doi: 10.1016/j.jaccas.2024.102657.

Authors

Muthukumaran Chinnasamy Sivaprakasam¹, Rajaguru Ganesan¹, Ramkishore S¹, Saranya A¹, Haritha Girija¹, Arun V¹, Mahitha V¹, Neville Solomon²

Affiliations

¹ Department of Pediatric Cardiology, Apollo Children's Hospital, Chennai, Tamilnadu, India.
² Department of Cardiothoracic Surgery, Apollo Children's Hospital, Chennai, Tamilnadu, India.

Abstract

We report 3 cases of transcatheter Fontan completion in conventional Glenn anastomosis patients without surgical preparation by creating a tunnel between the pulmonary artery and right atrium. Cavocaval anastomosis is established by placing a covered stent graft within the scaffold created with the uncovered stents at the pulmonary artery-right atrium and inferior vena cava-right atrium junction.

Keywords: cavopulmonary anastomosis; single ventricle; transcatheter Fontan; transcatheter palliation.

Publication types

Case Reports