title: Division of the main pulmonary artery: suboptimal palliation for the patient with a univentricular heart.
abstract: We describe a patient in whom a thrombus formed in the distal main pulmonary artery stump after a bidirectional Glenn procedure with division of the main pulmonary artery and in whom a restrictive inlet ventricular septal defect also developed. These findings emphasize the importance of maintaining antegrade flow through the pulmonary trunk and providing dual sources of ventricular outflow with a Damus-Kaye-Stansel anastomosis in patients with a univentricular heart without pulmonary stenosis.
authors.affiliation: Division of Cardiology, Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA.
authors.forename: J A
authors.initials: JA
authors.lastname: Wong
authors.forename: R H
authors.initials: RH
authors.lastname: Beekman
mesh_terms: D000714:Anastomosis, Surgical; D001011:Aorta / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000209:etiology; D001401:Azygos Vein / Q000002:abnormalities; D004694:Endocardial Cushion Defects / Q000473:pathology; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000209:etiology; D006352:Heart Ventricles / Q000002:abnormalities; D006801:Humans; D007223:Infant; D007979:Levocardia / Q000473:pathology; D010166:Palliative Care; D011183:Postoperative Complications; D011651:Pulmonary Artery / Q000601:surgery*; D012857:Situs Inversus / Q000473:pathology; D013927:Thrombosis / Q000209:etiology*; D014682:Vena Cava, Inferior / Q000002:abnormalities; D014683:Vena Cava, Superior / Q000002:abnormalities; D016276:Ventricular Function