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Use of a modified microvascular plug to modify fenestration flow in a rapidly failing Fontan

Published online by Cambridge University Press:  15 January 2024

Nicola McCay Open the ORCID record for Nicola McCay [Opens in a new window] ,
Philip Roberts  and
Kevin Walsh
Nicola McCay*
Affiliation:
Children’s Health Ireland, Dublin, Ireland
Philip Roberts
Affiliation:
Children’s Health Ireland, Dublin, Ireland
Kevin Walsh
Affiliation:
Children’s Health Ireland, Dublin, Ireland
*
Corresponding author: Nicola McCay; Email: [email protected]
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Abstract

We report a case of an alternative transcatheter use of the modified Medtronic microvascular plug to modify fenestration stent flow in a patient with a rapidly deteriorating clinical condition. This four-year-old boy developed severe cyanosis following fenestration stent insertion, initially placed due to prolonged drainage post-Fontan with extra-cardiac conduit. In April 2023, he underwent urgent cardiac catheterisation and had partial occlusion of fenestration stent with a modified 9Q microvascular plug. His oxygen saturations improved from 50 to 89% in room air with no re-emergence of raised cavopulmonary pressures.

Keywords

ModifiedmicrovascularplugFontanfenestration
Type
Brief Report
Information
Cardiology in the Young , Volume 34 , Issue 3 , March 2024 , pp. 698 - 700
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Copyright
© The Author(s), 2024. Published by Cambridge University Press

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References

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