Remarkable growth of the internal mammary artery used for systemic-to-pulmonary artery shunt in a patient with cyanotic heart disease.
The left internal mammary artery-to-the left pulmonary artery shunt was created in a 16-year-old boy with single ventricle, severe pulmonary stenosis palliated by Glenn shunt at the age of two. Four years follow-up angiogram demonstrated a significant increase of the diameter of the left internal mammary artery from 4 to 7 mm. The internal mammary artery is a good alternative conduit for a systemic-to-pulmonary artery shunt for a cyanotic heart disease because of its growth potential.
Sakai
T
T
Department of Cardiovascular Surgery, Tenri Hospital, Nara, Japan.
Ueda
Y
Y
Ogino
H
H
Morioka
K
K
D000015:Abnormalities, Multiple / Q000601:surgery*; D002675:Child, Preschool; D004310:Double Outlet Right Ventricle / Q000601:surgery*; D018610:Heart Bypass, Right / Q000379:methods*; D006352:Heart Ventricles / Q000002:abnormalities*; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000000981:diagnostic imaging / Q000254:growth & development* / Q000637:transplantation*; D010166:Palliative Care / Q000379:methods*; D011652:Pulmonary Circulation; D011666:Pulmonary Valve Stenosis / Q000151:congenital / Q000601:surgery*; D011859:Radiography; D016019:Survival Analysis