Severe conduit stenosis in a patient with Fontan circulation with a Y-shaped Dacron conduit

Cardiol Young. 2021 Oct;31(10):1693-1695. doi: 10.1017/S1047951121001293. Epub 2021 Apr 8.

Abstract

Conduit stenosis is a major, albeit rare, complication following the Fontan palliation. A single-baffle conduit with polytetrafluoroethylene is widely used for an extracardiac type Fontan palliation. A polyethylene terephthalate conduit (Dacron) is sometimes used for the conduit when more flexibility is required. A Y-shaped conduit is rarely used, but it may reduce the energy loss and achieve better hepatic flow distribution. Data on the long-term patency and complications when using a Y-shaped Dacron conduit is lacking. We report a case of a severely stenotic Y-shaped Dacron conduit in a patient who underwent extracardiac Fontan palliation.

Keywords: Dacron; Fontan palliation; Y-shaped; conduit; polyethylene terephthalate; stenosis.

Publication types

  • Case Reports

MeSH terms

  • Constriction, Pathologic
  • Fontan Procedure* / adverse effects
  • Heart Defects, Congenital* / surgery
  • Humans
  • Polyethylene Terephthalates
  • Polytetrafluoroethylene

Substances

  • Polyethylene Terephthalates
  • Polytetrafluoroethylene