Unifocalization of major aortopulmonary collateral arteries in pulmonary atresia and ventricular septal defect using antibiotic sterilized pulmonary homograft: a case report.
A unifocalization procedure in a 9-year-old girl with pulmonary atresia, ventricular septal defect, and major aortopulmonary collateral arteries (MAPCAs) was performed using an antibiotic sterilized pulmonary homograft. A tailored pulmonary homograft was used as an interposition graft to anastomose the pulmonary artery to the larger MAPCA after a side-to-side anastomosis had been done between the two MAPCAs. The pulmonary homograft was connected to the right subclavin artery with a 6-mm Gore-Tex shunt. Postoperative oxygen saturation (SaO2) levels were satisfactory and a postoperative angiogram showed good unifocalization of the pulmonary vasculature.
Department of Cardiac Surgery, Institute of Cardiovascular Diseases, Madras, India.
I A
IA
Hamid
S G
SG
Rao
S
S
Bharati
K M
KM
Cherian
D000714:Anastomosis, Surgical; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001027:Aortography; D001784:Blood Gas Analysis; D001807:Blood Vessel Prosthesis; D006328:Cardiac Catheterization; D002648:Child; D003097:Collateral Circulation; D003131:Combined Modality Therapy; D000013:Congenital Abnormalities / Q000097:blood / Q000175:diagnosis / Q000601:surgery; D004452:Echocardiography; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000097:blood / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D010100:Oxygen / Q000097:blood; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000637:transplantation*; D011664:Pulmonary Valve / Q000002:abnormalities* / Q000637:transplantation*; D013242:Sterilization; D014021:Tissue Preservation
D000900:Anti-Bacterial Agents; D010100:Oxygen