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.
Department of Cardiothoracic Surgery, Erasmus MC, Dr Molewaterplein 40, 3015 GD Rotterdam, The Netherlands. suzanne.kats@catharina-ziekenhuis.nl
Suzanne
S
Kats
Peter L
PL
de Jong
Maarten
M
Witsenburg
Ad J J C
AJ
Bogers