A novel and unique treatment of right ventricular inflow obstruction in a patient with a Bjork modification of the Fontan palliation before pregnancy

作者：Butcher Charles J T; Plymen Carla M; Walker Fiona^*

来源：Cardiology in the Young, 2010, 20(3): 337-338.

DOI：10.1017/S1047951110000107

• Percutaneous valve
• congenital heart disease
• maternity

Introduction: Patients with complex congenital cardiac disease are increasingly surviving to adulthood and many are keen to consider pregnancy. Haemodynamic status should be optimal prior to embarking on pregnancy and for some this may mean surgical intervention to alleviate haemodynamic residua. Methods: We report the successful implantation of a percutaneous pulmonary stent valve into a right atrial to right ventricular conduit in a young woman with a Bjork modification of the Fontan palliation to improve haemodynamics prior pregnancy. Discussion: Catheter interventions offer a low-risk option for the treatment of haemodynamic residua and innovative use of new technologies such as the pulmonary stent valve presents a novel, safe, and effective treatment for such conduit problems.

• 出版日期2010-6