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Case Reports
. 2018 Feb 1;91(2):292-295.
doi: 10.1002/ccd.27445. Epub 2017 Dec 14.

Insufficiency of a Damus-Kaye-Stansel anastomosis in a Fontan patient: Transfemoral implantation of an Edwards Sapien 3 valve

Heike E Schneider  1 , Verena Gravenhorst  1 , Thomas Paul  1 , Claudius Jacobshagen  2
Affiliations
Case Reports

Insufficiency of a Damus-Kaye-Stansel anastomosis in a Fontan patient: Transfemoral implantation of an Edwards Sapien 3 valve

Heike E Schneider et al. Catheter Cardiovasc Interv. .

Abstract

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.

Keywords: adult congenital heart disease; transcatheter valve implantation.

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