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Here, we report the case of a 32\u2009years old lady with left atrial isomerism, complete AV septal defect, interrupted inferior vena cava with azygos continuation who underwent Kawashima procedure with atrial Fontan. Severe systemic atrioventricular valve regurgitation necessitated a 33\u2009mm Perimount valve implantation and conversion to lateral tunnel Fontan. After only 4\u2009years there was severe valve stenosis and the patient underwent successful trans\u2010apical transcatheter implantation of a 29\u2009mm Sapien valve.<\/jats:p>","DOI":"10.1002\/ccd.28714","type":"journal-article","created":{"date-parts":[[2020,1,8]],"date-time":"2020-01-08T12:00:19Z","timestamp":1578484819000},"page":"950-953","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Hybrid trans\u2010apical atrioventricular valve\u2010in\u2010valve implantation in Fontan circulation"],"prefix":"10.1002","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1288-0108","authenticated-orcid":false,"given":"Gianfranco","family":"Butera","sequence":"first","affiliation":[{"name":"Department of Paediatric and Adult Congenital Heart Disease Evelina London Children's Hospital, Guy's and St Thomas' NHS Foundation Trust  London UK"},{"name":"School of Biomedical Engineering and Imaging Sciences Kings College  London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluca","family":"Lucchese","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Guy's and St Thomas' NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Conal","family":"Austin","sequence":"additional","affiliation":[{"name":"Department of Paediatric and Adult Congenital Heart Disease Evelina London Children's Hospital, Guy's and St Thomas' NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Frigiola","sequence":"additional","affiliation":[{"name":"Department of Paediatric and Adult Congenital Heart Disease Evelina London Children's Hospital, Guy's and St Thomas' NHS Foundation Trust  London UK"},{"name":"School of Biomedical Engineering and Imaging Sciences Kings College  London"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,1,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.05.66"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/17434440.2016.1207521"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27988"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy590"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.019353"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.12.025"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27910"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.28714","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.28714","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.28714","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.28714","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T15:52:45Z","timestamp":1694101965000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.28714"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,8]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,4]]}},"alternative-id":["10.1002\/ccd.28714"],"URL":"https:\/\/doi.org\/10.1002\/ccd.28714","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,8]]},"assertion":[{"value":"2019-10-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-12-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-01-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}