Document Detail

Catastrophic transcatheter baffle fenestration for failing Fontan physiology.
MedLine Citation:
PMID:  9456139     Owner:  NLM     Status:  MEDLINE    
Transcatheter fenestration and balloon dilation of an atrial baffle created from native atrial tissue was attempted in a 15-year-old girl with failing Fontan physiology and protein-losing enteropathy. After transseptal puncture, initial dilations with a 10-mm and 12-mm diameter balloon resulted in an inadequate fenestration, with no significant decrease of right atrial pressure or systemic arterial saturation. Dilation of the fenestration with a 16-mm-diameter balloon produced a tear of the atrial septum and subsequent death. Balloon dilation of native atrial tissue may result in uncontrolled tears of the atrial septum.
H T Henneveld; P Hutter; F J Hitchcock; N Sreeram
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  65     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1998 Jan 
Date Detail:
Created Date:  1998-02-25     Completed Date:  1998-02-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  268-70     Citation Subset:  AIM; IM    
Department of Cardiology, Wilhelmina Children's Hospital, Utrecht, The Netherlands.
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MeSH Terms
Abnormalities, Multiple
Balloon Dilatation
Fatal Outcome
Fontan Procedure*
Heart Atria / surgery*
Heart Catheterization
Postoperative Complications
Protein-Losing Enteropathies / therapy*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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