Catheter closure of accessory pulmonary blood flow after bidirectional Glenn anastomosis using Amplatzer duct occluder.
Additional source of pulmonary blood flow in patients with bidirectional cavopulmonary anastomosis (Glenn shunt) may cause elevation of the pulmonary artery pressure precluding safe completion of the Fontan operation. A case is presented with single-ventricle bidirectional cavopulmonary anastomosis and additional flow from the ventricle to the pulmonary artery resulting in elevated Glenn pressure. The communication was successfully occluded using Amplatzer duct occluder with satisfactory reduction in the Glenn pressure.
Division of Cardiology, Department of Pediatrics, University Of Mississippi Medical Center, Jackson, Mississippi, 39216, USA. mebeid@ped.umsmed.edu
Makram R
MR
Ebeid
Charles H
CH
Gaymes
James A
JA
Joransen
D006328:Cardiac Catheterization / Q000379:methods; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D018729:Fontan Procedure; D018610:Heart Bypass, Right; D006330:Heart Defects, Congenital / Q000503:physiopathology / Q000628:therapy; D006352:Heart Ventricles / Q000002:abnormalities / Q000601:surgery; D006801:Humans; D007223:Infant; D011652:Pulmonary Circulation / Q000502:physiology*