Document Detail


Bronchial compression as adverse effect of left pulmonary artery stenting in a patient with hypoplastic left heart syndrome.
MedLine Citation:
PMID:  19937008     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 5-year-old child with hypoplastic left heart syndrome (HLHS) was noted to have left pulmonary artery stenosis after Glenn shunt placement. Therefore, a stent was implanted into the left pulmonary artery to relieve stenosis. After redilatation of the pulmonary artery stent, wheezing, fatigue, asymmetric bronchial sound, and desaturation was noted. Computed tomography, bronchoscopy, and bronchography confirmed critical left main bronchus compression as a consequence of the mass effect of the dilated stent. Balloon plasty of the left bronchus successfully relieved bronchial stenosis. Tracheobronchial obstruction is a possible adverse effect of vascular stenting in children with congenital heart defects. Balloon plasty seems to be a safe and efficient therapeutic option in those cases.
Authors:
T Moszura; A Mazurek-Kula; P Dryzek; A Sysa
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-11-24
Journal Detail:
Title:  Pediatric cardiology     Volume:  31     ISSN:  1432-1971     ISO Abbreviation:  Pediatr Cardiol     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-23     Completed Date:  2010-08-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  530-3     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Polish Mother's Memorial Hospital, Research Institute, 93-338 Lodz, Rzgowska 281/289, Poland. tmoszura@wp.pl
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MeSH Terms
Descriptor/Qualifier:
Balloon Dilatation
Bronchial Diseases / diagnosis*,  therapy
Bronchography
Bronchoscopy
Child, Preschool
Constriction, Pathologic / diagnosis,  surgery,  therapy
Female
Heart Bypass, Right*
Humans
Hypoplastic Left Heart Syndrome / surgery*
Postoperative Complications / therapy*
Pulmonary Artery / abnormalities*
Stents / adverse effects*
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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