Balloon-Expandable Stenting, Percutaneous Coil Emboli
zation, and Amplatzer Septal Occluder; Treatments after
Complicated Lateral Thnnel Fontan : A Case Report
WORAKAN PROMPHAN, MD*• JARUPIM SOONGSW ANG, MD*,
KRITVIKROM DURONGPISITKUL, MD*, DUANGMANEE LAOHAPRASITIPORN, MD*,
SAMPHAN PORNVILAWAN, MD**, APICHART NANA, MD*,
SOMCHAI SRIYOSCHAT I, MD**
Affiliation : • Division of Pediatric Cardiology, Department of Pediatrics,
•• Division ofCardiothoracic surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University,
Bangkok 10700, Thailand
AbstractThe authors report a 7-year-old girl with univentricular heart physiology who developed
prolonged pleural effusion due to discrete narrowing of the proximal right pulmonary artery, and
progressive cyanosis which resulted from leakage of the atrial baffle, multiple veno-venous collaterals
after the lateral tunnel Fontan operation. Percutaneous balloon- expandable stent implantation was
used to correct the right pulmonary artery stenosis with an excellent result. Cyanosis was improved
by coil embolization of the collaterals and occlusion of the baffle leakage with Amplatzer septal
occluder. This is the first successful report in Thailand.
Keywords : Fontan Operation, Amplatzer Septal Occluder, Stent Implantation, Coil Embolization
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