Tsoutsinos Alexandros, Kakava Felicia, Kanakis Meletios, Samanidis George, Despotopoulos Stefanos, Vagenakis George, Apostolopoulou Sotiria, Papagiannis John, Rammos Spyridon
Department of Paediatric Cardiology and Adult Congenital Heart Disease Onassis Cardiac Surgery Centre Athens Greece.
Department of Pediatric Cardiac Intensive Care Unit Onassis Cardiac Center Athens Greece.
Clin Case Rep. 2024 Sep 17;12(9):e9466. doi: 10.1002/ccr3.9466. eCollection 2024 Sep.
Systemic to pulmonary venous collaterals (SPVCs) are common findings in patients with Fontan and may be responsible for desaturation in this group of patients. In selected cases, percutaneous closure of SPVCs with coils or vascular plugs could be offered as a safe and effective treatment modality for these patients.
A 27-year-old female patient who had operated primarily with Glenn operation and she underwent later a lateral tunnel Fontan operation. After 5 years, she presented with desaturation due to significant systemic to pulmonary venous collateral development, and a decision was made to proceed with interventional occlusion. Afterward, the arterial saturations increased.
体肺静脉分流（SPVCs）在接受Fontan手术的患者中很常见，可能是导致该组患者血氧饱和度降低的原因。在某些特定病例中，使用线圈或血管封堵器经皮封堵SPVCs可作为这些患者安全有效的治疗方式。
一名27岁女性患者最初接受了格林手术，后来又接受了侧隧道Fontan手术。5年后，由于体肺静脉分流大量发展导致血氧饱和度降低，决定进行介入封堵。此后，动脉血氧饱和度升高。
