Open AccessTransvenous closure of large aortopulmonary collateral
Author(s) -
Parag Barwad,
Gurpreet Singh Gulati,
Saurabh Kumar Gupta,
Anitá Saxena,
Balram Airan,
S Ramakrishnan
Publication year - 2014
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/0974-2069.126549
Subject(s) - medicine , pulmonary atresia , cardiology , surgery , pulmonary artery
Aortopulmonary collaterals (APCs) are occluded either preoperatively or at the time of cardiac surgery in patients with pulmonary atresia and ventricular septal defect (PAVSD). If left untreated, APCs are an important cause of deterioration in the early postoperative period. We present here an unusual case with a large residual APC causing refractory low-output state in the early postoperative period. Usual arterial approach failed due to extensive angulation with ostial narrowing. The large residual APC was successfully closed with an Amplatzer duct occluder (ADO) device delivered through the transvenous route.