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1. Staged Acclimatization in a Failing Fontan by AFR in AFR

Author

Jenny E. Zablah, MD, Natalie Soszyn, MBBS, BMedSci, MMed, and Gareth J. Morgan, MB, BaO BCh, MPhil

Subjects
AFR, failing Fontan, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

We describe serial implantation of atrial flow regulator (AFR) devices in the Fontan fenestration of a 4-year-old patient. Initially, the fenestration size was decreased using a 6/5 AFR, resulting in improved saturations and hemodynamics. One year later, further improvement was achieved by placing a 4/10 AFR inside the original device. (Level of Difficulty: Advanced.)

Published
2023
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