Fate of the Fontan connection: Mechanisms of stenosis and management.
Donald J HaglerWilliam R MirandaBrielle J HaggertyJason H AndersonJonathan N JohnsonFrank CettaSameh M SaidNathaniel W TaggartPublished in: Congenital heart disease (2019)
We demonstrated the hemodynamics and angiographic subtypes of conduit stenosis in patients after Fontan, We showed that calcified homografts, stenotic Gore-Tex conduits and lateral tunnels pathways can be safely and effectively stented to eliminate obstruction. Percutaneous stenting is associated with a decrease in connection gradients and improvement in functional capacity.