Hybrid procedure of bilateral pulmonary artery banding and bilateral ductal stenting in an infant with aortic atresia and interrupted aortic arch

Abstract

We report an infant with aortic valve atresia, interrupted aortic arch, ventricular septal defect, confluent pulmonary arteries, bilateral arterial ducts, absent common carotid arteries, and anomalous coronary arteries arising from main pulmonary artery. Hybrid procedure consisting of bilateral pulmonary artery banding and bilateral arterial duct stenting was performed at 4 weeks of age. Hybrid procedure can be an alternative palliative approach in an infant with this complex cardiac anatomy.

Catheterization and surgical collaboration in the treatment of complex congenital heart disease with discontinuous pulmonary arteries.

“…Bilateral PDA stenting has been reported previously, most often a prelude to a later biventricular repair [8,9]. One case reported by Kobayashi et al with a similar background died before reaching the Glenn stage [10]. In the setting of a biventricular repair, the unifocalized area will receive pulsatile, and higher pressure that will maintain patency of the surgery site and possibly promote growth.…”