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1 results

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

  • Nicola McCay, Philip Roberts, Kevin Walsh
  • Journal:
    Cardiology in the Young / Volume 34 / Issue 3 / March 2024
    Published online by Cambridge University Press:
    15 January 2024, pp. 698-700

  • 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.