Document Detail


Stenting of a stenosed major aortopulmonary collateral artery in a baby with pulmonary atresia and a ventricular septal defect: rescue from critical hypoxia in the immediate postoperative stage of unifocalization supported by extracorporeal membrane oxygenation.
MedLine Citation:
PMID:  19089969     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 4-month baby with pulmonary atresia, ventricular septal defect, major aortopulmonary collateral arteries (MAPCAs) and an extremely hypoplastic central pulmonary artery developed critical hypoxia following right unifocalization combined with a right Blalock-Taussig shunt. To increase pulmonary blood flow we stented the left lower MAPCA during extracorporeal membrane oxygenation (ECMO) support. He was successfully weaned from ECMO 2 days after stenting. Percutaneous intervention for a stenosed MAPCA is an effective means of increasing pulmonary blood flow in critically hypoxic patients following unilateral unifocalization, even in the immediate postoperative stage.
Authors:
Hideshi Tomita; Takashi Matsuoka; Shigeru Uemura
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  73     ISSN:  1522-726X     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2008-12-24     Completed Date:  2009-02-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  109-12     Citation Subset:  IM    
Copyright Information:
(c) 2008 Wiley-Liss, Inc.
Affiliation:
Cardiovascular Center, Showa University, Northern Yokohama Hospital, Yokohama, Japan. tomitah@med.showa.a.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon / instrumentation*
Anoxia / etiology*,  pathology,  physiopathology,  surgery
Aorta / pathology,  physiopathology,  surgery*
Aortography
Arterial Occlusive Diseases / complications,  pathology,  physiopathology,  surgery*
Blood Vessel Prosthesis Implantation / adverse effects
Cardiac Surgical Procedures / adverse effects*
Collateral Circulation
Constriction, Pathologic
Extracorporeal Circulation*
Heart Septal Defects, Ventricular / complications,  pathology,  physiopathology,  surgery*
Humans
Infant
Male
Postoperative Care
Pulmonary Artery / abnormalities,  physiopathology,  surgery*
Pulmonary Atresia / complications,  pathology,  physiopathology,  surgery*
Pulmonary Circulation
Regional Blood Flow
Stents*
Treatment Outcome

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


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