Desaturation after Fontan procedure due to systemic venous collateral and improvement after closure with embolization

Key Clinical Message Systemic to pulmonary venous collaterals (SPVCs) are common findings in patients with Fontan and may be responsible for desaturation in this group of patients. In selected cases, percutaneous closure of SPVCs with coils or vascular plugs could be offered as a safe and effective...

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Main Authors: Alexandros Tsoutsinos, Felicia Kakava, Meletios Kanakis, George Samanidis, Stefanos Despotopoulos, George Vagenakis, Sotiria Apostolopoulou, John Papagiannis, Spyridon Rammos
Format: Article
Language:English
Published: Wiley 2024-09-01
Series:Clinical Case Reports
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Online Access:https://doi.org/10.1002/ccr3.9466
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author Alexandros Tsoutsinos
Felicia Kakava
Meletios Kanakis
George Samanidis
Stefanos Despotopoulos
George Vagenakis
Sotiria Apostolopoulou
John Papagiannis
Spyridon Rammos
author_facet Alexandros Tsoutsinos
Felicia Kakava
Meletios Kanakis
George Samanidis
Stefanos Despotopoulos
George Vagenakis
Sotiria Apostolopoulou
John Papagiannis
Spyridon Rammos
author_sort Alexandros Tsoutsinos
collection DOAJ
description Key Clinical Message Systemic to pulmonary venous collaterals (SPVCs) are common findings in patients with Fontan and may be responsible for desaturation in this group of patients. In selected cases, percutaneous closure of SPVCs with coils or vascular plugs could be offered as a safe and effective treatment modality for these patients. Abstract A 27‐year‐old female patient who had operated primarily with Glenn operation and she underwent later a lateral tunnel Fontan operation. After 5 years, she presented with desaturation due to significant systemic to pulmonary venous collateral development, and a decision was made to proceed with interventional occlusion. Afterward, the arterial saturations increased.
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spelling doaj-art-abf4052ec5a24240a0a058449f0daee22025-08-20T02:50:22ZengWileyClinical Case Reports2050-09042024-09-01129n/an/a10.1002/ccr3.9466Desaturation after Fontan procedure due to systemic venous collateral and improvement after closure with embolizationAlexandros Tsoutsinos0Felicia Kakava1Meletios Kanakis2George Samanidis3Stefanos Despotopoulos4George Vagenakis5Sotiria Apostolopoulou6John Papagiannis7Spyridon Rammos8Department of Paediatric Cardiology and Adult Congenital Heart Disease Onassis Cardiac Surgery Centre Athens GreeceDepartment of Pediatric Cardiac Intensive Care Unit Onassis Cardiac Center Athens GreeceDepartment of Paediatric and Adult Congenital Heart Surgery Onassis Cardiac Center Athens Greece1st Department of Adult Cardiac Surgery Onassis Cardiac Surgery Center Athens GreeceDepartment of Paediatric Cardiology and Adult Congenital Heart Disease Onassis Cardiac Surgery Centre Athens GreeceDepartment of Paediatric Cardiology and Adult Congenital Heart Disease Onassis Cardiac Surgery Centre Athens GreeceDepartment of Paediatric Cardiology and Adult Congenital Heart Disease Onassis Cardiac Surgery Centre Athens GreeceDepartment of Paediatric Cardiology and Adult Congenital Heart Disease Onassis Cardiac Surgery Centre Athens GreeceDepartment of Paediatric Cardiology and Adult Congenital Heart Disease Onassis Cardiac Surgery Centre Athens GreeceKey Clinical Message Systemic to pulmonary venous collaterals (SPVCs) are common findings in patients with Fontan and may be responsible for desaturation in this group of patients. In selected cases, percutaneous closure of SPVCs with coils or vascular plugs could be offered as a safe and effective treatment modality for these patients. Abstract A 27‐year‐old female patient who had operated primarily with Glenn operation and she underwent later a lateral tunnel Fontan operation. After 5 years, she presented with desaturation due to significant systemic to pulmonary venous collateral development, and a decision was made to proceed with interventional occlusion. Afterward, the arterial saturations increased.https://doi.org/10.1002/ccr3.9466collateralsembolizationFontanpulmonary venoussystemic
spellingShingle Alexandros Tsoutsinos
Felicia Kakava
Meletios Kanakis
George Samanidis
Stefanos Despotopoulos
George Vagenakis
Sotiria Apostolopoulou
John Papagiannis
Spyridon Rammos
Desaturation after Fontan procedure due to systemic venous collateral and improvement after closure with embolization
Clinical Case Reports
collaterals
embolization
Fontan
pulmonary venous
systemic
title Desaturation after Fontan procedure due to systemic venous collateral and improvement after closure with embolization
title_full Desaturation after Fontan procedure due to systemic venous collateral and improvement after closure with embolization
title_fullStr Desaturation after Fontan procedure due to systemic venous collateral and improvement after closure with embolization
title_full_unstemmed Desaturation after Fontan procedure due to systemic venous collateral and improvement after closure with embolization
title_short Desaturation after Fontan procedure due to systemic venous collateral and improvement after closure with embolization
title_sort desaturation after fontan procedure due to systemic venous collateral and improvement after closure with embolization
topic collaterals
embolization
Fontan
pulmonary venous
systemic
url https://doi.org/10.1002/ccr3.9466
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