Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Jun;40(5):1093-1096.
doi: 10.1007/s00246-019-02101-7. Epub 2019 Apr 13.

Usefulness of 4D-Flow MRI in Mapping Flow Distribution Through Failing Fontan Circulation Prior to Cardiac Intervention

Daniel McLennan  1 , Michal Schäfer  2 , Max B Mitchell  3 , Gareth J Morgan  2 , Dunbar Ivy  2 , Alex J Barker  2 , Roni Jacobsen  2
Affiliations
Case Reports

Usefulness of 4D-Flow MRI in Mapping Flow Distribution Through Failing Fontan Circulation Prior to Cardiac Intervention

Daniel McLennan et al. Pediatr Cardiol. 2019 Jun.

Abstract

We report a case of a 23-year-old male with failing Fontan circulation who was taken to the catheterization lab to better evaluate the Fontan circulation and hemodynamics. Catheterization revealed arteriovenous malformations exclusively present in the right lung leading to the consideration of placing stents to direct the inferior vena cava flow through the Fontan circuit to the right pulmonary artery (RPA), thus increasing the RPA concentration of the hepatic factor. However, comprehensive 4D-Flow MRI analyses indicated sufficient distribution of the hepatic flow between branch pulmonary arteries, and consequently no further invasive intervention to redirect hepatic flow was performed.

Keywords: Flow; Fontan circulation; MRI.

PubMed Disclaimer

References

    1. Heart. 2002 Dec;88(6):639 - PubMed
    1. Radiology. 2013 Apr;267(1):67-75 - PubMed
    1. Circ Cardiovasc Imaging. 2013 Nov;6(6):943-9 - PubMed
    1. Expert Rev Cardiovasc Ther. 2014 Jun;12(6):703-13 - PubMed
    1. J Cardiovasc Magn Reson. 2015 Aug 10;17:72 - PubMed

Publication types

LinkOut - more resources