Internal mammary artery as a palliative systemic-pulmonary shunt in order to develop diminutive pulmonary arteries.
Diminutive pulmonary arteries remain a problem in the surgery of congenital heart disease. This is the second report of a case in which the internal mammary artery was successfully used to enlarge small pulmonary arteries by 50% within 9 months accompanied by improvement of the symptomatic state in a patient with pulmonary atresia and diminutive left pulmonary arteries.
Sievers
H H
HH
Lange
P E
PE
Heintzen
P H
PH
Bernhard
A
A
D000293:Adolescent; D000790:Angiocardiography; D003097:Collateral Circulation; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D008168:Lung / Q000098:blood supply*; D008323:Mammary Arteries / Q000601:surgery*; D010166:Palliative Care; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D013895:Thoracic Arteries / Q000601:surgery*