Document Detail


Effects of transcatheter closure of Fontan fenestration on exercise tolerance. kidecho@yahoo.com.
MedLine Citation:
PMID:  18071783     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Baffle fenestration is associated with a significantly better outcome in standard and high-risk patients undergoing completion of Fontan. We report the effects of subsequent transcatheter closure of fenestration on exercise capacity and oxygen saturation. Sixteen patients with a mean age of 10.3 years underwent Amplatzer septal occluder (ASO) device transcatheter closure of Fontan fenestration. All had a fenestrated Fontan operation 6 month to 8 years prior to the procedure. A stress test was performed before and after device closure of fenestration in 14 patients (2 patients did not tolerate stress test before the procedure). The fenestrations in all patients were successfully occluded with the use of the Amplatzer device occluder. No complications occurred during or after the procedure. O2 saturation increased from a mean 85.1 +/- 7.89% to 94.5 +/- 3.63% (p < 0.01) at rest and from 66.2 +/- 12.86% to 87.2 +/- 8.64% (p < 0.01) following exercise. Exercise duration has also increased from 8.22 +/- 2.74 min to 10.29 +/- 1.91 min (p < 0.05). Transcatheter closure of Fontan fenestration increases the duration of exercise capacity and increases O2 saturation at rest and after exercise.
Authors:
Tarek S Momenah; Haifa Eltayb; Reida El Oakley; Howeida Al Qethamy; Yahya Al Faraidi
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Publication Detail:
Type:  Journal Article     Date:  2007-12-11
Journal Detail:
Title:  Pediatric cardiology     Volume:  29     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-05-12     Completed Date:  2008-11-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  585-8     Citation Subset:  IM    
Affiliation:
Prince Sultan Cardiac Center, P.O. Box 7897, Riyadh, 1159, Kingdom of Saudi Arabia, kidecho@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Balloon Occlusion*
Child
Exercise Tolerance*
Fontan Procedure*
Heart Catheterization
Heart Septal Defects / surgery
Humans

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


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