Objective: To show possible alternative uses of the Rashkind ductal umbrella.
Design: Descriptive study of selected, non-randomised patients; with specific congenital heart lesions other than an arterial duct.
Setting: A tertiary referral centre.
Patients: Nine patients with congenital heart lesions; four with interatrial communications after a fenestrated Fontan procedure two with large aortopulmonary collaterals, three with an unoperated ventricular septal defect.
Interventions: Placement of a Rashkind umbrella occluder as treatment for a haemodynamically important lesion.
Results: Successful placement with symptomatic and haemodynamic improvement in all.
Conclusions: The Rashkind ductal umbrella may be used successfully to treat some patients with aortopulmonary collateral vessels, ventricular septal defects, and interatrial communications after the fenestrated Fontan procedure.