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ABSTRACT

The acutely failing Fontan circulation requires urgent management to decompress the systemic venous pressures and augment cardiac output. This may involve the use of extracorporeal membrane oxygenation support to preserve life. Catheter-based effective Fontan takedown is an alternative to surgery in these patients, who are acutely unstable, and offers the potential for an adjustable fenestration.

Subject(s)

Cardiac Catheterization/methods , Fontan Procedure/adverse effects , Hypoplastic Left Heart Syndrome/surgery , Postoperative Complications/therapy , Stents , Cardiac Catheterization/instrumentation , Cardiac Output , Child, Preschool , Device Removal , Extracorporeal Membrane Oxygenation/methods , Follow-Up Studies , Fontan Procedure/methods , Humans , Hypoplastic Left Heart Syndrome/diagnosis , Male , Postoperative Complications/diagnosis , Regional Blood Flow/physiology , Risk Assessment , Treatment Failure , Treatment Outcome

ABSTRACT

Subject(s)

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