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Perventricular closure of pulmonary stump in a 16‐kg child
Author(s) -
Darby Scott,
Ilbawi Michel,
Amin Zahid
Publication year - 2014
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.25497
Subject(s) - medicine , closure (psychology) , pouch , surgery , pulmonary artery , right pulmonary artery , cardiology , economics , market economy
Blind pouch formation of the pulmonary artery (PA) in patients having undergone a Fontan operation can present a serious risk for thromboembolic events. Either primary or secondary closure of this stump is necessary to reduce this risk. Unfortunately, secondary closure is oftentimes difficult due to the size and anatomy of the presenting patient. We describe the insertion of a muscular ventricular septal defect (VSD) device via a perventricular approach for successful closure of a pulmonary stump in a 3‐year old, 16‐kg child. To our knowledge, this is the first report of a perventricular approach for successful closure of a PA stump. © 2014 Wiley Periodicals, Inc.