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Transcatheter closure of an acquired post-operative aorta to right ventricle shunt in a child with complex univentricular heart

Part of: Interventional Cardiology

Published online by Cambridge University Press:  24 March 2022

Raymond N. Haddad Open the ORCID record for Raymond N. Haddad [Opens in a new window] ,
Damien Bonnet Open the ORCID record for Damien Bonnet [Opens in a new window] ,
Diala Khraiche  and
Sophie Malekzadeh-Milani Open the ORCID record for Sophie Malekzadeh-Milani [Opens in a new window]
Raymond N. Haddad*
Affiliation:
M3C-Necker, Hôpital Universitaire Necker-Enfants malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
Damien Bonnet
Affiliation:
M3C-Necker, Hôpital Universitaire Necker-Enfants malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France Université de Paris, Paris, France
Diala Khraiche
Affiliation:
M3C-Necker, Hôpital Universitaire Necker-Enfants malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
Sophie Malekzadeh-Milani
Affiliation:
M3C-Necker, Hôpital Universitaire Necker-Enfants malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
*
Author for correspondence: Dr R. N. Haddad, MD, Service de cardiologie congénitale et pédiatrique, centre de référence des malformations cardiaques congénitales complexes - M3C, Hôpital Universitaire Necker-Enfants malades, 149, rue de Sèvres, 75015, Paris, France. Tel: +33 7 53 15 95 04; Fax: +33 1 44 49 47 30. E-mail: raymondhaddad@live.com
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Abstract

KONAR-MultifunctionalTM VSD Occluder (Lifetech, Shenzhen, China) is one of the most recent additions to the armamentarium of device closure interventions offering special features to tackle complex cardiac anatomies. Herein, we report the first use of the KONAR-MFO in an 8.5-year-old female patient (27 kg/129 cm) with stage III palliated univentricular heart to close an acquired post-operative tunnel-like communication (5 mm long × 2.6 mm large) between the right anterior non-coronary aortic sinus and the rudimentary right ventricular cavity. The shunt was diagnosed two and a half years after bulboventricular foramen surgical enlargement. The 5× 3 mm KONAR-MFO was retrogradely implanted under ultrasound and biplane fluoroscopic guidance. Immediate and 12-month follow-up confirmed successful outcomes with complete shunt closure and preserved aortic valve competence.

Keywords

Aortocardiac shuntmultifunctional occludertranscatheter intervention
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 12 , December 2022 , pp. 2013 - 2015
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

Rojas, P, Amat-Santos, IJ, Cortés, C, et al. Acquired aseptic intracardiac shunts following transcatheter aortic valve replacement: a systematic review. JACC Cardiovasc Interv 2016; 9: 2527–2538.CrossRefGoogle ScholarPubMed
Nakamura, K, Passeri, JJ, Inglessis-Azuaje, I. Percutaneous closure of acute aorto-right ventricular fistula following transcatheter bicuspid aortic valve replacement. Catheter Cardiovasc Interv 2017; 90: 164–168.CrossRefGoogle ScholarPubMed
Petrou, E, Iakovou, I, Leontiadis, E, Kourkoveli, P, Rammos, S, Karatasakis, G. Percutaneous transcatheter closure of aorto-right ventricular fistula using the Amplatzer duct occluder. Hellenic J Cardiol 2016; 57: 185–187.CrossRefGoogle ScholarPubMed
Nagi Haddad, R, Ly, R, Iserin, L, Malekzadeh-Milani, S. Aorta-to-right ventricle neoshunt closure using an Amplatzer Duct Occluder II device. J Card Surg 2021; 36: 2156–2159.CrossRefGoogle ScholarPubMed
Pate, GE, Al Zubaidi, A, Chandavimol, M, Thompson, CR, Munt, BI, Webb, JG. Percutaneous closure of prosthetic paravalvular leaks: case series and review. Catheter Cardiovasc Interv 2006; 68: 528–533.CrossRefGoogle ScholarPubMed
Kerkar, PG, Lanjewar, CP, Mishra, N, Nyayadhish, P, Mammen, I. Transcatheter closure of ruptured sinus of Valsalva aneurysm using the Amplatzer duct occluder: immediate results and mid-term follow-up. Eur Heart J 2010; 31: 2881–2887.CrossRefGoogle ScholarPubMed
Boukaram, L, Haddad, RN, Daou, L, Saliba, Z. Transcatheter closure of congenital Gerbode-type ventricular septal defect using the new multifunctional occluder device. J Card Surg 2021; 36: 2986–2988.CrossRefGoogle ScholarPubMed
Haddad, RN, Daou, LS, Saliba, ZS. Percutaneous closure of restrictive-type perimembranous ventricular septal defect using the new KONAR multifunctional occluder: midterm outcomes of the first middle-eastern experience. Catheter Cardiovasc Interv 2020; 96: E295–E302.CrossRefGoogle ScholarPubMed
Haddad, RN, Saliba, Z. Interventional device closure of perimembranous ventricular septal defects: challenges, pitfalls, and advancements in device technology. Interv Cardiol 2021; 13: 109–114.Google Scholar
Alam, M. Transesophageal color flow Doppler features of aorta to right ventricle fistula. Chest 1993; 103: 1907–1908.CrossRefGoogle ScholarPubMed
Haddad, RN, Rizk, C, Saliba, Z, Farah, J. Percutaneous closure of ventricular septal defects in children: key parameters affecting patient radiation exposure. Am J Cardiovasc Dis 2021; 11: 65–72.Google ScholarPubMed