Transcatheter occlusion of antegrade pulmonary blood flow in children with univentricular heart

Şahin, Gülhan Tunca

doi:10.5606/tgkdc.dergisi.2019.16398

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…They used duct occluder in 3 patients and atrial septal occluder in 1 patient [10]. In the Turkish series by Tunca S G et al, out of 7 children, successful antegrade flow occlusion was done using atrial septal occluders in 5 children while vascular plugs were used in 2 children [11]. For most children in the above two series, the preferred route of device delivery was from the jugular access.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous salvage interventions in the Glenn circuit: a case series

et al. 2020

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Background In majority of children bidirectional Glenn shunt is a safe and efficacious procedure with minimal post-operative issues. Rarely, there may be dysfunction in the Glenn pathway due loss of anatomical integrity or derangements in normal physiological or hemodynamic milieu. We report 4 cases in the last 3 years (2016-2019) where complications in the Glenn circuit led to serious consequences requiring transcatheter interventions. Case presentation Two of our patients presented with frank features of superior vena cava syndrome. One of them had right Glenn anastomotic site narrowing leading to severe obstruction along with significant left pulmonary artery origin stenosis. The other child had excessive antegrade flow impeding normal Glenn flow leading to superior vena cava syndrome. The next child in our series was initially lost to follow-up after bidirectional Glenn surgery. Later on, this child was noted to have discontinuous left pulmonary artery with perfusion only to the right lung from the Glenn. The remaining child described in this series had developed a large tortuous venous collateral post Glenn shunt leading to severe cyanosis. All the above children needed prompt percutaneous interventions to revert back to their basal state. On follow-up, the benefit was sustained in all. Conclusions Percutaneous intervention procedures often provide a successful bailout option in various complicated situations post Glenn surgery with reasonable efficacy and safety.

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Section: Discussionmentioning

confidence: 99%

Percutaneous salvage interventions in the Glenn circuit: a case series

et al. 2020

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Mid-term results and late events after the Fontan operation: A single-center experience

Akbaş,

Demir,

Erdem

et al. 2024

Turk Gogus Kalp Dama

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Background: This study aimed to review our institutional experience with the Fontan operation, the adverse severe events we encountered during mid-term follow-up, and the associated risk factors. Methods: In the study, the medical records of 40 patients (22 males, 18 females) who underwent Fontan operation between August 1993 and August 2020 were retrospectively reviewed. The patients were followed up for at least six months. Results: The Fontan operation was performed at a median age of 6.5 years (range, 3 to 22 years), and the mean follow-up time was 4.1±3.8 years (range, 0.5 to 17 years). The most frequently occurring defect was tricuspid atresia (45.0%). Fifteen (37.5%) patients experienced 24 late adverse events. Late complications and severe side effects, in order of frequency, were arrhythmia in eight (53.3%) patients, hypoxia in five (33.3%) patients, and ventricular dysfunction in three (20%) patients. While protein-losing enteropathy and mortality were each observed in two (13.3%) patients, Fontan failure, thromboembolic event, pulmonary arteriovenous fistulae, and ascites were each observed in one (6.6%) patient. When possible risk factors for late complications were examined, a statistical significance was not found. Conclusion: Life expectancy and quality of life of patients with Fontan circulation have increased with advances in surgical technique and increased management success. However, complications are not uncommon after the Fontan operation, and late events remain a significant problem. The results of our study indicate that in mid-term follow-up of patients who underwent Fontan surgery at our institution, although not statistically significant, those who underwent fenestration and those operated at a later age tended to experience more severe events and late complications.

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Transcatheter occlusion of antegrade pulmonary blood flow in children with univentricular heart

Cited by 2 publications

References 17 publications

Percutaneous salvage interventions in the Glenn circuit: a case series

Percutaneous salvage interventions in the Glenn circuit: a case series

Mid-term results and late events after the Fontan operation: A single-center experience

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