Sutureless rescue of a severely hypoplastic pulmonary artery.
The management of severely hypoplastic pulmonary arteries in the adolescent or adult with congenital heart disease is challenging. A patient with pulmonary atresia and ventricular septal defect (PA-VSD) presented with severe cyanosis due to a kinked and thrombosed right ventricle to pulmonary artery conduit. Retrograde wedge angiography showed a patent right and a diminutive left pulmonary artery deep in the lung hilus. Treatment options were limited and therefore a different strategy had to be considered to rescue the lung segments. This case report describes the novel use of a covered stent to successfully obtain a sutureless connection between a vascular graft and a diminutive pulmonary artery during a hybrid procedure.
Brown
Stephen C
SC
Pediatric & Congenital Cardiology, University Hospitals Leuven, Leuven, Belgium.
Boshoff
Derize E
DE
Meyns
Bart
B
Gewillig
Marc
M
D000293:Adolescent; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000473:pathology; D018633:Pulmonary Atresia / Q000601:surgery*; D011859:Radiography; D012086:Reoperation / Q000379:methods; D013537:Sutures