Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-27T23:19:43.187Z Has data issue: false hasContentIssue false

Severe conduit stenosis in a patient with Fontan circulation with a Y-shaped Dacron conduit

Published online by Cambridge University Press:  08 April 2021

Daiji Takajo*
Affiliation:
Department of Pediatrics, Children’s Hospital of Michigan, Detroit, MI, USA
Preetha L. Balakrishnan
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Children’s Hospital of Michigan, Detroit, MI, USA
Sanjeev Aggarwal
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Children’s Hospital of Michigan, Detroit, MI, USA
*
Author for correspondence: D. Takajo, MD, Department of Pediatrics, Children’s Hospital of Michigan, 3901 Beaubien Boulevard, Detroit, MI48201, USA. Tel: +745 1892; Fax: +993 7118. E-mail: [email protected]

Abstract

Conduit stenosis is a major, albeit rare, complication following the Fontan palliation. A single-baffle conduit with polytetrafluoroethylene is widely used for an extracardiac type Fontan palliation. A polyethylene terephthalate conduit (Dacron) is sometimes used for the conduit when more flexibility is required. A Y-shaped conduit is rarely used, but it may reduce the energy loss and achieve better hepatic flow distribution. Data on the long-term patency and complications when using a Y-shaped Dacron conduit is lacking. We report a case of a severely stenotic Y-shaped Dacron conduit in a patient who underwent extracardiac Fontan palliation.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Careddu, L, Petridis, FD, Angeli, E, et al. Dacron conduit for extracardiac total cavopulmonary anastomosis: a word of caution. Hear Lung Circ 2019; 28: 18721880. doi: 10.1016/j.hlc.2018.11.005 CrossRefGoogle ScholarPubMed
Martin, MH, Feinstein, JA, Chan, FP, et al. Technical feasibility and intermediate outcomes of using a handcrafted, area-preserving, bifurcated Y-graft modification of the Fontan procedure. J Thorac Cardiovasc Surg 2015; 149: 239245.e1. doi: 10.1016/j.jtcvs.2014.08.058 CrossRefGoogle ScholarPubMed
Trusty, PM, Wei, Z, Sales, M, et al. Y-graft modification to the Fontan procedure: increasingly balanced flow over time. J Thorac Cardiovasc Surg 2020; 159: 652661. doi: 10.1016/j.jtcvs.2019.06.063 CrossRefGoogle ScholarPubMed
Slesnick, T, Parks, WJ, Sallee, D, et al. Imaging insights from the bifurcated Y-graft Fontan procedure. J Cardiovasc Magn Reson 2016; 18 (Suppl 1): 12. doi: 10.1186/1532-429x-18-s1-o115 CrossRefGoogle Scholar