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

Published online by Cambridge University Press:  29 March 2010

Charles J. T. Butcher ,
Carla M. Plymen  and
Fiona Walker
Charles J. T. Butcher
Affiliation:
The Heart Hospital, University College London Hospitals NHS Foundation Trust, London
Carla M. Plymen
Affiliation:
The Heart Hospital, University College London Hospitals NHS Foundation Trust, London
Fiona Walker*
Affiliation:
The Heart Hospital, University College London Hospitals NHS Foundation Trust, London
*
Correspondence to: Dr F. Walker, Consultant Adult Congenital Cardiology, The Heart Hospital, University College London Hospitals NHS Foundation Trust, 16-18 Westmoreland Street, London W1G 8PH. Tel: +0207 573 8888; Fax: +0207 573 8807; E-mail: Fiona.walker@uclh.nhs.uk
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Abstract

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.

Keywords

Percutaneous valvecongenital heart diseasematernity
Type
Brief Reports
Information
Cardiology in the Young , Volume 20 , Issue 3 , June 2010 , pp. 337 - 338
Copyright
Copyright © Cambridge University Press 2010

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References

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2. Khambadkone, S, Coats, L, Taylor, A, et al. Percutaneous pulmonary valve inmplantation in humans: results in 59 consecutive patients. Circulation 2005; 112: 1189–1197.CrossRefGoogle Scholar
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