Closure of patent Potts shunt with aortic endoluminal stent graft.
Pulmonary hypertension secondary to residual Potts shunt is not an uncommon phenomenon. A 59-year-old male with a history of tetralogy of Fallot was noted, on a full heart study, to have persistent pulmonary hypertension, normal left ventricular function, severe aortic regurgitation, and a residual Potts shunt. A previous surgical attempt at closure of the shunt during definitive repair was unsuccessful. An aortic endoluminal stent graft was deployed to definitively close the shunt. There was a subsequent normalization of pulmonary pressures following Potts shunt closure. The patient will now proceed with surgical aortic root repair and aortic valve replacement.
Ahmar
Walid
W
Department of Cardiology, The Melbourne Heart Center, The Royal Melbourne Hospital, Parkville, Victoria, Australia. w_ahmar@yahoo.com
Aggarwal
Anuradha
A
Skillington
Peter
P
Atkinson
Noel
N
D000714:Anastomosis, Surgical / Q000009:adverse effects; D001013:Aorta, Thoracic / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D006345:Heart Septal Defects, Ventricular / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation; D006352:Heart Ventricles / Q000473:pathology / Q000601:surgery; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011651:Pulmonary Artery / Q000601:surgery*; D012086:Reoperation; D015607:Stents; D013771:Tetralogy of Fallot / Q000601:surgery