TRANSCATHETER OCCLUSION OF A POST-FONTAN RESIDUAL HEPATIC VEIN TO PULMONARY VENOUS ATRIUM COMMUNICATION USING THE AMPLATZER SEPTAL OCCLUDER

A residual hepatic vein to left atrial communication may result in pro gressive cyanosis after the Fontan procedure, This problem has usually been treated surgically by ligation or re-inclusion of the residual h epatic vein in the Fontan circulation. Previous attempts at transcathe ter closure of such veins have been unsuccessful. An Amplatzer septal occluder was successfully used for transcatheter closure of a post-Fon tan hepatic vein to pulmonary venous atrium fistula in an 8 year old b oy.