Document Detail


Hybrid angioplasty for left pulmonary artery stenosis after total correction of tetralogy of Fallot: report of one case.
MedLine Citation:
PMID:  16231568     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pulmonary artery stenosis is common in tetralogy of Fallot. Surgical correction usually achieves good results. For those patients undergoing total correction with residual pulmonary artery stenosis, percutaneous transluminal angioplasty (PTA) plays an important role. However, this might not be possible for complex anatomies. We report a 19-month-old boy who underwent total correction of tetralogy of Fallot at 1 year of age. He developed main pulmonary artery (MPA) aneurysm and left pulmonary artery (LPA) stenosis 4 months after the operation. PTA was attempted, but the guidewire failed to thread into the LPA due to the dilated MPA and tiny LPA ostium. A hybrid approach consisting of left anterior small thoracotomy and balloon angioplasty via the introducer sheath in the MPA was proposed. Rapid access to the LPA and successful balloon angioplasty followed by stenting concluded the hybrid intervention. Such intervention is a good alternative to treat this complex anatomy.
Authors:
Kuan-Ming Chiu; Jer-Shen Chen; Shu-Jen Yeh; Tzu-Yu Lin; Juine-Yih Ma; Shao-Jung Li; Shu-Hsun Chu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta paediatrica Taiwanica = Taiwan er ke yi xue hui za zhi     Volume:  46     ISSN:  1608-8115     ISO Abbreviation:  Acta Paediatr Taiwan     Publication Date:    2005 May-Jun
Date Detail:
Created Date:  2005-10-19     Completed Date:  2005-11-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100958202     Medline TA:  Acta Paediatr Taiwan     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  174-7     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Far-Eastern Memorial Hospital, Taipei, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon / methods*
Arterial Occlusive Diseases / therapy*
Humans
Infant
Male
Pulmonary Artery*
Tetralogy of Fallot / surgery*

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


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