Insufficiency of a Damus-Kaye-Stansel anastomosis in a Fontan patient: Transfemoral implantation of an Edwards Sapien 3 valve
Corresponding Author
Heike E. Schneider MD
Department of Pediatric Cardiology and Intensive Care Medicine, University Medical Center Goettingen, Goettingen, 37075 Germany
Correspondence Heike E. Schneider, MD, Department of Pediatric Cardiology and Intensive Care Medicine, University Medical Center Goettingen, Robert-Koch-Str. 40, 37075 Goettingen, Germany. Email: [email protected]Search for more papers by this authorVerena Gravenhorst MD
Department of Pediatric Cardiology and Intensive Care Medicine, University Medical Center Goettingen, Goettingen, 37075 Germany
Search for more papers by this authorThomas Paul MD
Department of Pediatric Cardiology and Intensive Care Medicine, University Medical Center Goettingen, Goettingen, 37075 Germany
Search for more papers by this authorClaudius Jacobshagen MD
Department for Cardiology and Pneumology, University Medical Center Goettingen, Robert-Koch-Str. 40, Goettingen, 37075 Germany
Search for more papers by this authorCorresponding Author
Heike E. Schneider MD
Department of Pediatric Cardiology and Intensive Care Medicine, University Medical Center Goettingen, Goettingen, 37075 Germany
Correspondence Heike E. Schneider, MD, Department of Pediatric Cardiology and Intensive Care Medicine, University Medical Center Goettingen, Robert-Koch-Str. 40, 37075 Goettingen, Germany. Email: [email protected]Search for more papers by this authorVerena Gravenhorst MD
Department of Pediatric Cardiology and Intensive Care Medicine, University Medical Center Goettingen, Goettingen, 37075 Germany
Search for more papers by this authorThomas Paul MD
Department of Pediatric Cardiology and Intensive Care Medicine, University Medical Center Goettingen, Goettingen, 37075 Germany
Search for more papers by this authorClaudius Jacobshagen MD
Department for Cardiology and Pneumology, University Medical Center Goettingen, Robert-Koch-Str. 40, Goettingen, 37075 Germany
Search for more papers by this authorAbstract
We present a 22-year-old patient with a univentricular heart who had already undergone five open heart surgeries including a Damus-Kaye-Stansel procedure, Fontan completion and tricuspid valve replacement. In addition, epimyocardial pacemaker implantation and repeated revisions had been necessary. He developed symptomatic free regurgitation of the pulmonary portion of his DKS anastomosis. To avoid additional high-risk open-heart surgery, we successfully implanted an Edwards Sapien 3 valve transfemorally in the pulmonary portion of the DKS anastomosis relieving insufficiency.
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