Home > Journals > Journal of Cardiovascular Medicine and Surgery

Journal of Cardiovascular Medicine and Surgery

Submit your article Read this Journals View all journals
Full Text (PDF)
Case Report

Simultaneous Atrioventricular Valve Repair Compelling Creation of Unconventional Fenestration During Extracardiac Total Cavopulmonary ConnectionSimultaneous Atrioventricular Valve Repair Compelling Creation of Unconventional Fenestration During Extracardi

Gananjay G. Salve, Shreepal A. Jain, Bharat V. Dalvi, Krishnanaik Shivaprakash

Author Information

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. 

Journal of Cardiovascular Medicine and Surgery 10(1-2):p 39-42, January – June 2024. | DOI: http://dx.doi.org/10.21088/jcms.2454.7123.10(1-2)24.7

How Cite This Article:

Salve GG, Jain SA, Dalvi BV, Shivaprakash K. Simultaneous atrioventricular valve repair compelling creation of unconventional fenestration during extracardiac total cavopulmonary connection. J Cardiovasc Med Surg. 2024;10(1-2):39-42.

Timeline

Received : February 26, 2024         Accepted : June 15, 2024          Published : June 24, 2024

Abstract

Severe regurgitation of the atrio-ventricular valve and borderline pulmonary vascular resistance are risk factors for failure of univentricular repair. We believe that fenestration in the Fontan pathway plays an important role in avoiding postoperative catastrophes- immediate and late, in such high-risk substrates. Rarely, the intra-operative circumstances compel the surgeon to opt for an unconventional method of fenestration. We report an interesting case of high-risk univentricular repair, had previously undergone pulmonary artery banding and bidirectional Glenn shunt, who now required a simultaneous repair of the regurgitant atrio-ventricular valve compelling the creation of an unconventional fenestration during Stage III palliation.

References

  • 1.   Tseng SY, Siddiqui S, Di Maria MV, Hill GD, Lubert AM, Kutty S, Opotowsky AR, Possner M, Morales DLS, Quintessenza JA, Alsaied T. Atrioventricular Valve Regurgitation in Single Ventricle Heart Disease: A Common Problem Associated With Progressive Deterioration and Mortality. J Am Heart Assoc. 2020 Jun 2;9(11):e015737. doi: 10.1161/ JAHA.119.015737.
  • 2.   Podzolkov VP, Chiaureli MR, Yurlov IA, Zelenikin MM, Kovalev DV, Dontsova VI, Astrakhantseva TO, Putiato NA, Zaets SB. Results of Fontan operation in patients with atrioventricular valve regurgitation. Eur J Cardiothorac Surg. 2015;48:308 14; discussion 314-5.
  • 3.   Alsaied T, Bokma JP, Engel ME, Kuijpers JM, Hanke SP, Zuhlke L, Zhang B, Veldtman GR. Factors associated with long-term mortality after Fontan procedures: a systematic review. Heart. 2017;103:104–110.
  • 4.   d’Udekem Y, Xu MY, Galati JC, Lu S, Iyengar AJ, Konstantinov IE, Wheaton GR, Ramsay JM, Grigg LE, Millar J, et al. Predictors of survival after single ventricle palliation: the impact of right ventricular dominance. J Am Coll Cardiol. 2012;59:1178–1185.
  • 5.   King G, Ayer J, Celermajer D, Zentner D, Justo R, Disney P, Zannino D, d’Udekem Y. Atrioventricular valve failure in Fontan palliation. J Am Coll Cardiol. 2019;73:810–822.
  • 6.   Li D, Li M, Zhou X, An Q. Comparison of the fenestrated and non-fenestrated Fontan procedures: A meta-analysis. Medicine (Baltimore). 2019;98:e16554.
  • 7.   Marcelletti CF, Iorio FS, Abella RF. Late results of extracardiac Fontan repair. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 1999;2:131–42.
  • 8.   Kreutzer C, Schlichter AJ, Simon JL, Conejeros Parodi WM, Blunda C, Kreutzer GO. A new method for reliable fenestration in extracardiac conduit Fontan operations. Ann Thorac Surg 2003;75:1675–9.
  • 9.   Salve GG, Jain SA, Adnaik A, Shivaprakash K. An unusual fenestration in single-stage Fontan operation. Interact Cardiovasc Thorac Surg 2016;23:656-8.

Data Sharing Statement

There are no additional data available.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval

Conflicts of Interest

No conflicts of interest in this work.

About this article

Cite this article

Salve GG, Jain SA, Dalvi BV, Shivaprakash K. Simultaneous atrioventricular valve repair compelling creation of unconventional fenestration during extracardiac total cavopulmonary connection. J Cardiovasc Med Surg. 2024;10(1-2):39-42.

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. 

Received Accepted Published
February 26, 2024 June 15, 2024 June 24, 2024
DOI: http://dx.doi.org/10.21088/jcms.2454.7123.10(1-2)24.7

Keywords

Atrio-ventricular valve regurgitationCompletion fontan procedureUnconventional fenestration

Article Level Metrics

Last Updated

Monday 22 June 2026, 11:09:54 (IST)

681

Accesses

3
121
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received February 26, 2024
Accepted June 15, 2024
Published June 24, 2024

licence

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. 


Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share