Reconstruction of stenotic or nonconfluent pulmonary arteries simultaneously with a Blalock-Taussig shunt

Barbero-Marcial, Miguel; Atik, Edmar; Baucia, José Augusto; Pradel, H. O. V.; Macruz, R; Jatene, Adib

doi:10.1016/s0022-5223(19)35390-5

Cited by 31 publications

(9 citation statements)

References 7 publications

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“…Operative treatment of ToF in case of pulmonary artery discontinuation turns this standard surgical procedure into repair of more complex pathology, which can be accomplished with different therapeutic strategies [ 2 ]. In the present case, during the first hospitalization an emergency BT shunt was done and a month later total correction of the ToF was performed with reimplantation of the left pulmonary artery (the LPA originated from the Kommerell diverticulum via the PDA) to the pulmonary trunk [ 3 ]. In this patient classic BT was initially performed in the setting of cyanosis with only slight improvement in arterial saturation [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…In the present case, during the first hospitalization an emergency BT shunt was done and a month later total correction of the ToF was performed with reimplantation of the left pulmonary artery (the LPA originated from the Kommerell diverticulum via the PDA) to the pulmonary trunk [ 3 ]. In this patient classic BT was initially performed in the setting of cyanosis with only slight improvement in arterial saturation [ 3 ]. Because of the unclear pathophysiology we decided to perform cardiac catheterization, which revealed the right-sided aortic arch and Kommerell's diverticulum with PDA as the only blood supply to the obstructed LPA [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

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Operative treatment of tetralogy of Fallot with concomitant correction of anomalous origin of the left pulmonary artery from Kommerell’s diverticulum

Juściński¹,

Haponiuk²,

Chojnicki³

et al. 2014

kitp

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Anomalies in development of the pulmonary valve, pulmonary trunk and peripheral pulmonary arteries are typical accompanying pathologies in patients with tetralogy of Fallot (ToF). Demanding for diagnostics and borderline for treatment is a condition colloquially called “discontinuous pulmonary arteries”, while the main branches are supplied with systemic blood from the ascending aorta, aortic arch or descending thoracic aorta.We present a case of a one-year-old girl with ToF and anomalous origin of the left pulmonary artery (LPA) from Kommerell's diverticulum who underwent two-stage surgical therapy with the support of interventional cardiology.We conclude that early diagnosis of discontinuous pulmonary artery is crucial for choosing the optimal operative strategy. In our opinion, simultaneous anatomic intracardiac correction with direct pulmonary reconstruction seems reasonable and effective, particularly when the result is achieved after joint efforts of cardiac surgery and interventional cardiology.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Operative treatment of tetralogy of Fallot with concomitant correction of anomalous origin of the left pulmonary artery from Kommerell’s diverticulum

Juściński¹,

Haponiuk²,

Chojnicki³

et al. 2014

kitp

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“…Pulmonary artery stenosis following a palliative systemic to pulmonary artery shunt, if present should be addressed at the time of surgical repair of the intracardiac defect. Simultaneous surgical repair of a pulmonary arterial lesion with palliation by a systemic to pulmonary artery shunt may also be performed, as can correction of nonconfluent pulmonary arteries by interposition graft placement between the pulmonary trunk and intrahilar branch pulmonary arteries 92 …”

Section: Continuing Role For Surgical Intervention For Pulmonary Artementioning

confidence: 99%

Interventional Strategies in the Management of Peripheral Pulmonary Artery Stenosis

Trivedi

Benson

2003

J Interven Cardiology

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Peripheral pulmonary artery stenosis challenges therapeutic algorithms for the management of congenital heart malformations. Surgical repair of the proximal pulmonary artery lesion remains with a high recurrence rate while the distal lesions are difficult to access. With the development of transcatheter interventional strategies in the early 1980s, a number of transcatheter treatment options became available. In this review, we summarize the current state of the art for interventional strategies in the management of peripheral pulmonary artery stenosis.

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“…Isolation of a branch pulmonary artery or the so‐called congenitally absent pulmonary artery from ductal closure has been recognized in a number of congenital heart malformations, including ventricular septal defect, tetralogy of Fallot, tetralogy of Fallot with absent pulmonary valve, tetralogy of Fallot and pulmonary atresia, and heterotaxia syndromes [1–5]. Surgical reconstruction of the discontinuous branch pulmonary arteries has been previously described [1–3, 6, 7]. Since the first reports in animal models in 1991 [8, 9], the worldwide experience in stent implantation to the arterial duct remains limited.…”

Section: Introductionmentioning

confidence: 99%

Staged rehabilitation of ductal origin of the left pulmonary artery in an infant fallot's tetralogy

Peirone

Lee

Yoo

et al. 2003

Cathet Cardio Intervent

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Isolation of a branch pulmonary artery from ductal closure is an unusual finding in patients with tetralogy of Fallot. A case report of a newborn is presented where the closing arterial duct was balloon-dilated and stented to reestablish blood supply to the affected lung as a strategy of improving systemic saturations and promoting the growth of the hiliar branch pulmonary artery. Five months after the initial palliation, complete surgical repair with stent removal was successfully achieved.

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Reconstruction of stenotic or nonconfluent pulmonary arteries simultaneously with a Blalock-Taussig shunt

Cited by 31 publications

References 7 publications

Operative treatment of tetralogy of Fallot with concomitant correction of anomalous origin of the left pulmonary artery from Kommerell’s diverticulum

Operative treatment of tetralogy of Fallot with concomitant correction of anomalous origin of the left pulmonary artery from Kommerell’s diverticulum

Interventional Strategies in the Management of Peripheral Pulmonary Artery Stenosis

Staged rehabilitation of ductal origin of the left pulmonary artery in an infant fallot's tetralogy

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