title: Hybrid stent implantation to the pulmonary artery from peripheral access via recruited systemic-pulmonary shunt.
abstract: The implantation of vascular stents in patients with low body weight and difficult anatomy of the stenosis needs individual cannulation strategy or a hybrid approach. We present a successful balloon angioplasty with direct stent implantation to severe ostial stenosis of the left pulmonary artery to xenograft anastomosis (LPA) in a 6-year-old boy late after surgical correction of pulmonary atresia with ventricular septal defect. Peripheral approach to LPA was possible after surgical rethoracotomy and the recruitment of a left Blalock-Taussig (BT) shunt stump. The cooperation of cardiovascular intervention with surgical approach appears a safe strategy for borderline patients referred for staged treatment of complex congenital heart defects.
authors.affiliation: Chair of Physiotherapy, Gdansk University of Physical Education and Sport, Gdansk, Poland ; Department of Pediatric Cardiac Surgery, Mikolaj Kopernik Hospital, Gdansk, Poland.
authors.forename: Ireneusz
authors.initials: I
authors.lastname: Haponiuk
authors.affiliation: Department of Pediatric Cardiac Surgery, Mikolaj Kopernik Hospital, Gdansk, Poland.
authors.forename: Maciej
authors.initials: M
authors.lastname: Chojnicki
authors.affiliation: Department of Pediatric Cardiac Surgery, Mikolaj Kopernik Hospital, Gdansk, Poland.
authors.forename: Mariusz
authors.initials: M
authors.lastname: Steffens
authors.affiliation: Department of Pediatric Cardiac Surgery, Mikolaj Kopernik Hospital, Gdansk, Poland.
authors.forename: Radosław
authors.initials: R
authors.lastname: Jaworski
authors.affiliation: Department of Pediatric Cardiac Surgery, Mikolaj Kopernik Hospital, Gdansk, Poland.
authors.forename: Konrad
authors.initials: K
authors.lastname: Paczkowski
authors.affiliation: Department of Pediatric Cardiac Surgery, Mikolaj Kopernik Hospital, Gdansk, Poland.
authors.forename: Aneta
authors.initials: A
authors.lastname: Szofer-Sendrowska
authors.affiliation: Department of Rehabilitation, Medical University of Gdansk, Gdansk, Poland.
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Gierat-Haponiuk
keywords: congenital heart defects; hybrid treatment
references.citation: Am J Cardiol. 2008 Dec 15;102(12):1737-41
references.pmid: 19064034