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Transpulmonary Stenting of Both Pulmonary Arteries with a Surgical Access through Redo Sternotomy
Author(s) -
Aggoun Yacine,
Sierra Jorge,
Kalangos Afskendyios
Publication year - 2009
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2008.00740.x
Subject(s) - medicine , pulmonary atresia , cardiology , stenosis , great arteries , surgery , pulmonary artery , cardiac catheterization , coronary arteries , artery , heart disease
We report the case of a four‐year‐old boy with pulmonary atresia (PA) and ventricular septal defect (VSD) associated with MAPCAs who had a complete repair two times. He developed 21 months later stenosis at the origin of both pulmonary arteries. The conventional interventional catheterization approaches were not available due to femoral vein thrombosis and severe transient complete atrioventricular block due to the manipulations to catheterize the left pulmonary artery. The stenoses were treated by implant of stents using a surgical access to the proximal portion of a Contegra valved conduit (Medtronic, Inc., Minneapolis, MN, USA) by sternotomy.