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Radiofrequency recanalization of an occluded long segment left pulmonary artery in bidirectional cavopulmonary anastomosis
Author(s) -
El Tahlawi Mohammad,
Bonello Beatrice,
Fraisse Alain
Publication year - 2010
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.22225
Subject(s) - medicine , balloon dilation , left pulmonary artery , anastomosis , pulmonary artery , occlusion , stenosis , hypoplastic left heart syndrome , surgery , cardiology , artery , radiology , balloon , balloon dilatation , heart disease
In patients with hypoplastic left heart syndrome who experience the Norwood surgical palliative program, development of the pulmonary artery branches is crucial. Balloon dilation and stenting may relieve potential stenosis but complete occlusion remains difficult to address with transcatheter therapy. We report the use of radiofrequency followed by balloon dilation and stenting to treat a long segment left pulmonary artery occlusion in a 15‐month‐old boy bidirectional Glenn. The left pulmonary artery was successfully recanalized with an excellent short‐term outcome. This further enhances the interest of radiofrquency for recanalization of occluded pulmonary artery branches, as an alternative to surgical reconstruction. © 2009 Wiley‐Liss, Inc.