Wire coil embolization of systemic-pulmonary artery collaterals following surgical correction of pulmonary atresia.
This report describes the selective obliteration of large systemic-pulmonary arterial collateral vessels, commonly found in cyanotic congenital disease with severe pulmonary atresia. A transcatheter wire coil embolus technique was used. The relative ease with which these shunt vessels can be occluded, with concomitant decrease in morbidity, is stressed and the importance of a team approach in the perioperative evaluation, angiographic assessment, and eventual therapy of patients with these complex anomalies is emphasized.
D000293:Adolescent; D000328:Adult; D001013:Aorta, Thoracic / Q000601:surgery*; D001027:Aortography; D002648:Child; D002675:Child, Preschool; D003097:Collateral Circulation; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D006333:Heart Failure / Q000150:complications; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery*; D011664:Pulmonary Valve / Q000002:abnormalities