Browsing by Author "Breinholt, John P."

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    Creating a Fontan fenestration in a child with dextrocardia and interrupted inferior vena cava
    (Wolters Kluwer, 2016-05) Charlagorla, Pradeepkumar; Breinholt, John P.; Department of Pediatrics, IU School of Medicine
    Plastic bronchitis is a rare life-threatening complication of the Fontan operation. Transcatheter Fontan fenestration can ameliorate symptoms by decompressing elevated venous pressures. Transcatheter creation of a fenestration can be technically challenging in cases with complex venous anatomy. We report a case of a 5-year-old boy with heterotaxy, dextrocardia with unbalanced atrioventricular canal (AVC), atrial and visceral situs inversus, left-sided superior vena cava (SVC), and left-sided interrupted inferior vena cava (IVC) with azygos continuation. With few modifications to the equipment, a successful Fontan fenestration with stent implantation was performed via transjugular approach. At 2-year follow-up, his symptoms of plastic bronchitis improved significantly.