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World J Pediatr Congenit Heart Surg. 2019 Mar;10(2):245-249. doi: 10.1177/2150135118799641. Epub 2019 Jan 10.

Fontan Revision: Presurgical Planning Using Four-Dimensional (4D) Flow and Three-Dimensional (3D) Printing.

Author information

1
1 Division of Cardiology, Rady Children's Hospital/UCSD, San Diego, CA, USA.
2
2 Department of Radiology, UCSD, San Diego, CA, USA.
3
3 Pediatric Cardiology, Kaiser Permanente Moanalua Medical Center, Honolulu, HI, USA.

Abstract

Pulmonary arteriovenous malformations (AVMs) can be a complication of certain postoperative Fontan patients whose hepatic venous blood return is not distributed evenly to both lungs. A ten-year-old female, who had previously undergone staged single ventricle palliation for complex congenital heart disease, underwent a Fontan revision due to significant left-sided pulmonary AVMs and increasing arterial oxygen desaturation. The combination of four-dimensional flow cardiac magnetic resonance imaging and three-dimensional printing enabled presurgical planning for a Fontan takedown and diversion of hepatic venous flow to the azygous vein that resulted in significant clinical improvement.

KEYWORDS:

3D printing; 4D flow; Fontan; magnetic resonance imaging (MRI); pulmonary arteriovenous malformations

PMID:
30630383
DOI:
10.1177/2150135118799641
[Indexed for MEDLINE]

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