First-in-Human Closed-Chest Transcatheter Superior Cavopulmonary Anastomosis.

ABSTRACT:

Background

In the care of patients with congenital heart disease, percutaneous interventional treatments have supplanted many surgical approaches for simple lesions, such as atrial septal defect. By contrast, complex congenital heart defects continue to require open-heart surgery. In single-ventricle patients, a staged approach is employed, which requires multiple open-heart surgeries and significant attendant morbidity and mortality. A nonsurgical transcatheter alternative would be attractive.

Objectives

The authors sought to show the feasibility of catheter-only, closed-chest, large-vessel anastomosis (superior vena cava and pulmonary artery [PA] or bidirectional Glenn operation equivalent) in a patient.

Methods

In preclinical testing over a decade, the authors deve

SUBMITTER: Ratnayaka K 

PROVIDER: S-EPMC5583645 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature