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

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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… Click to show full 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: kaye stansel; edwards sapien; anastomosis; sapien valve; implantation; damus kaye

Journal Title: Catheterization and Cardiovascular Interventions
Year Published: 2018

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