Massive haemorrhage at resternotomy after stent implantation in ventriculo-pulmonary shunt after Norwood procedure.
The ventriculo-pulmonary shunt in hypoplastic left heart syndrome has become an alternative to the arterio-pulmonary shunt. We present a patient with a severe stenosis in the ventriculo-pulmonary shunt at the proximal anastomosis, for which emergency balloon dilatation and stent implantation was performed. The location of the stent in the shunt, leaving only a thin compressed infundibular myocardium directly beneath the sternum, predisposed to massive haemorrhage at resternotomy for bidirectional Glenn procedure.
Kats
Suzanne
S
Department of Cardiothoracic Surgery, Erasmus MC, Dr Molewaterplein 40, 3015 GD Rotterdam, The Netherlands. suzanne.kats@catharina-ziekenhuis.nl
de Jong
Peter L
PL
Witsenburg
Maarten
M
Bogers
Ad J J C
AJ