{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T01:29:33Z","timestamp":1785115773718,"version":"3.55.0"},"reference-count":11,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>We report the case of a 10\u2010year\u2010old boy (41\u2009kg, 133\u2009cm) with hypoplastic left heart syndrome (mitral and aortic atresia), who underwent staged palliation: Norwood\u2010Sano at 6 days, Glenn at 7 months, and Fontan completion at 3 years using a 16\u2009mm non\u2010fenestrated extracardiac Gore\u2010Tex conduit. By age 8, he developed Fontan failure with elevated pressures and protein\u2010losing enteropathy, refractory to medical management, supportive therapy, and hepatic lymphatic embolization. At age 9, the Fontan conduit was needle\u2010perforated, dilated with a 7\u2009mm balloon, and a 6\u2009\u00d7\u20095\u2009mm Occlutech atrial flow regulator (AFR) was implanted. Complete AFR thrombosis occurred 4 months later. Recanalization was achieved using an Astato\u00ae 30 0.018\u201d wire under carotid protection with 6\u2009mm SpiderFX filters, followed by high\u2010pressure ballooning and a 9\u2009\u00d7\u200918\u2009mm BeSmooth stent implantation. Despite a patent AFR and optimized therapy, the patient showed no clinical improvement and ultimately underwent successful heart transplantation 1 month later under more favorable conditions.<\/jats:p>","DOI":"10.1002\/ccd.70481","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T04:06:07Z","timestamp":1769141167000},"page":"1380-1383","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Recanalization of Thrombosed Atrial Flow Regulator in Failing Fontan: A Bridge to Transplant"],"prefix":"10.1002","volume":"107","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7605-4708","authenticated-orcid":false,"given":"Raymond N.","family":"Haddad","sequence":"first","affiliation":[{"name":"Fili\u00e8re des Cardiopathies Cong\u00e9nitales Enfant Adultes, H\u00f4pital Marie Lannelongue, Centre Constitutif du R\u00e9seau Maladies Rares Malformations Cardiaques Cong\u00e9nitales Complexes \u2010 M3C, H\u00f4pitaux Saint Joseph et Marie Lannelongue Le Plessis\u2010Robinson France"},{"name":"Facult\u00e9 de M\u00e9decine Kremlin\u2010Bic\u00eatre Universit\u00e9 Paris\u2010Saclay Le Kremlin\u2010Bic\u00eatre France"},{"name":"INSERM, UMR_S 1358, Hypertension Pulmonaire: Physiopathologie and Innovation Th\u00e9rapeutique (HPPIT), AP\u2010HP, H\u00f4pital Bic\u00eatre, H\u00f4pital Marie Lannelongue Universit\u00e9 Paris\u2010Saclay Le Plessis\u2010Robinson France"},{"name":"Direction de la Recherche et de l'Innovation M\u00e9dicale (DRIM), Marie Lannelongue Innovation Center (MALIC), H\u00f4pitaux Saint Joseph et Marie Lannelongue Le Plessis Robinson France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Estibaliz","family":"Valdeolmillos","sequence":"additional","affiliation":[{"name":"Fili\u00e8re des Cardiopathies Cong\u00e9nitales Enfant Adultes, H\u00f4pital Marie Lannelongue, Centre Constitutif du R\u00e9seau Maladies Rares Malformations Cardiaques Cong\u00e9nitales Complexes \u2010 M3C, H\u00f4pitaux Saint Joseph et Marie Lannelongue Le Plessis\u2010Robinson France"},{"name":"Facult\u00e9 de M\u00e9decine Kremlin\u2010Bic\u00eatre Universit\u00e9 Paris\u2010Saclay Le Kremlin\u2010Bic\u00eatre France"},{"name":"INSERM, UMR_S 1358, Hypertension Pulmonaire: Physiopathologie and Innovation Th\u00e9rapeutique (HPPIT), AP\u2010HP, H\u00f4pital Bic\u00eatre, H\u00f4pital Marie Lannelongue Universit\u00e9 Paris\u2010Saclay Le Plessis\u2010Robinson France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emre","family":"Belli","sequence":"additional","affiliation":[{"name":"Fili\u00e8re des Cardiopathies Cong\u00e9nitales Enfant Adultes, H\u00f4pital Marie Lannelongue, Centre Constitutif du R\u00e9seau Maladies Rares Malformations Cardiaques Cong\u00e9nitales Complexes \u2010 M3C, H\u00f4pitaux Saint Joseph et Marie Lannelongue Le Plessis\u2010Robinson 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