title: Combined heart transplantation and thoracic endovascular aortic repair for heart failure secondary to tricuspid atresia palliated with Potts shunt.
abstract: A 57-year-old-man with known tricuspid atresia previously palliated with a Potts shunt had developed progressive heart failure refractory to medical management. He underwent a combined thoracic endovascular stent graft procedure to eliminate the Potts shunt and orthotopic heart transplantation. At 3-month follow-up, right-sided heart function and pulmonary artery pressures as well as pulmonary vascular resistance had normalized, and at 7 months, the patient had returned to normal activity. The surgical management and its principles as well as postoperative follow-up are described.
authors.affiliation: Cardiac Surgery Research, Inova Heart and Vascular Institute, Falls Church, VA 22042, USA.
authors.forename: Bobby
authors.initials: B
authors.lastname: Yanagawa
authors.forename: Lucas
authors.initials: L
authors.lastname: Collazo
authors.forename: Nelson
authors.initials: N
authors.lastname: Burton
authors.forename: Niv
authors.initials: N
authors.lastname: Ad
authors.forename: Alan M
authors.initials: AM
authors.lastname: Speir
mesh_terms: D017130:Angioplasty / Q000379:methods; D001013:Aorta, Thoracic / Q000601:surgery*; D057510:Endovascular Procedures; D006333:Heart Failure / Q000209:etiology / Q000601:surgery*; D016027:Heart Transplantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D018785:Tricuspid Atresia / Q000150:complications / Q000601:surgery*