Ruptured aneurysm of major aortopulmonary collateral artery: management using amplatzer vascular plug

Sharma, Arun; Kumar, Sanjeev; Priya, Sarv

doi:10.21037/cdt.2016.01.02

Cited by 7 publications

(6 citation statements)

References 10 publications

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“…In adult patients with FSV, we often find MAPCAs from cardiac CT scans and catheterizations. Many studies have confirmed that MAPACAs were harmful for both systemic circulation and pulmonary circulation and could lead to hemoptysis . In the present study, patients with MAPCAs did not have significantly higher mortality than did other patients ( P = .556).…”

Section: Discussionsupporting

confidence: 50%

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Results of surgery on adults with functional single ventricle without prior cardiac surgery in childhood

Yang

Chen

et al. 2019

J Card Surg

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Objectives: Patients with unoperated functional single ventricle (FSV) rarely survive into adulthood with good functional status and there are few reports about surgical results of adult patients with FSV. This study retrospectively reviews our experience with surgery in adult patients with FSV. , 65 adult patients with FSV underwent surgery in our hospital. Twenty underwent Blalock-Taussig shunt or bidirectional Glenn procedures in other hospitals prior, and four were lost to follow-up. Finally, 41 patients were included in this study.Results: The early postoperative mortality was 7.3% (3/41). Postoperative systemic arterial oxygen saturation (SpO 2 , 83.7% ± 4.8%) was significantly higher than preoperative SpO 2 (77.9% ± 10.1%, P < .01). The mean follow-up time was 3.9 ± 3.1 years (range 1-11 years). There was only one case of late mortality and massive hemoptysis was the cause of death. Right ventricular morphology and severe atrioventricular valve regurgitation (AVVR) were the risk factors of postoperative death for patients with pulmonary stenosis(PS). There was no death case in patients who received Fontan procedure. In a follow-up, we found the grade of AVVR was reduced and the grade of heart function (New York Heart Association) was improved.Conclusions: Adult patients with FSV can also undergo surgery. The mortality was acceptable and late results were satisfactory. After surgery, oxygen saturations increased, grades of AVVR decreased and the heart functions improved. Right ventricular morphology and severe AVVR were risk factors for patients with PS.

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Section: Discussionsupporting

confidence: 50%

“…MAPACAs were harmful for both systemic circulation and pulmonary circulation and could lead to hemoptysis. [21][22][23] In the present study, patients with MAPCAs did not have significantly higher mortality than did other patients (P = .556). However, the mortality of MAPCAs patients was 13.3%, higher than total mortality (9.8%).…”

Section: Late Outcomesmentioning

confidence: 45%

Results of surgery on adults with functional single ventricle without prior cardiac surgery in childhood

Yang

Chen

et al. 2019

J Card Surg

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“…Although the occurrence of stenosis and poststenotic dilations is common in MAPCAs, reports of aneurysm along course are only hand full. [ 1 2 3 4 ] Flow-related dilation is common in unobstructed MAPCAs resulting from segmental pulmonary hypertension. [ 5 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 3 4 ] Rupture of aneurysm in MAPCA is a medical emergency and various treatment options such as covered stent or vascular plug or surgery have been tried. [ 1 2 4 ] Conservative management for giant MAPCA aneurysm considering the intraoperative risks had a dismal outcome. [ 3 ]…”

Section: Discussionmentioning

confidence: 99%

Repercussions of a giant major aortopulmonary collateral aneurysm adjacent to vertebral artery origin

et al. 2022

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“…5) that may rupture and cause pulmonary hemorrhage. 11 The majority of the patients with APCAs show cardiac morphology of pulmonary stenosis or atresia and ventricular septal defect (VSD). This cardiac morphology leads to reduced pulmonary blood flow and cyanosis that act as triggering factors for noninvolution of the embryological intersegmental arteries.…”

Section: Introductionmentioning

confidence: 99%

Basic Concepts and Insights into Aortopulmonary Collateral Arteries in Congenital Heart Diseases

Sharma

Vadher

Shaw

et al. 2023

Indian J Radiol Imaging

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Aortopulmonary collateral arteries are persistent embryological vessels supplying lung parenchyma in various cardiopulmonary diseases with underlying pulmonary hypoperfusion. Their identification and mapping are important because of associated clinical implications and tendency to affect the surgical outcome. This article describes the embryological development and clinical relevance of aortopulmonary collaterals in various congenital cardiopulmonary conditions, along with the significance for treatment planning. Roles, strength, and shortcomings of the various imaging options and image-guided interventions are discussed, with a focus on presurgical planning and preparation, as well as postsurgical management.

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Ruptured aneurysm of major aortopulmonary collateral artery: management using amplatzer vascular plug

Cited by 7 publications

References 10 publications

Results of surgery on adults with functional single ventricle without prior cardiac surgery in childhood

Results of surgery on adults with functional single ventricle without prior cardiac surgery in childhood

Repercussions of a giant major aortopulmonary collateral aneurysm adjacent to vertebral artery origin

Basic Concepts and Insights into Aortopulmonary Collateral Arteries in Congenital Heart Diseases

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