Coil occlusion of aberrant arteries to pulmonary sequestration in a case with pulmonary atresia with intact ventricular septum: successful treatment of repetitive myocardial ischaemic attacks

In this study, we describe an infant case of pulmonary atresia with intact ventricular septum associated with ventriculo-coronary arterial communication for which a modified Blalock–Taussig shunt operation was performed. He experienced repeated myocardial ischaemic attacks. Further examination revea...

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Bibliographic Details
Published in:Cardiology in the young 2017-01, Vol.27 (1), p.193-195
Main Authors: Ono, Akemi, Hayabuchi, Yasunobu, Kagami, Shoji
Format: Article
Language:English
Subjects:
Blalock-Taussig Procedure - methods
Bronchopulmonary Sequestration - complications
Bronchopulmonary Sequestration - diagnosis
Bronchopulmonary Sequestration - surgery
Communication
Coronary vessels
Coronary Vessels - diagnostic imaging
Coronary Vessels - surgery
Echocardiography
Electrocardiography
Fontan Procedure - methods
Heart Defects, Congenital - surgery
Humans
Infant, Newborn
Male
Medical imaging
Multidetector Computed Tomography
Myocardial Ischemia - diagnosis
Myocardial Ischemia - etiology
Myocardial Ischemia - surgery
Patients
Pulmonary arteries
Pulmonary Atresia - surgery
Tomography
Ultrasonic imaging
Veins & arteries
Ventricular Septum - diagnostic imaging
Ventricular Septum - surgery
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Summary:In this study, we describe an infant case of pulmonary atresia with intact ventricular septum associated with ventriculo-coronary arterial communication for which a modified Blalock–Taussig shunt operation was performed. He experienced repeated myocardial ischaemic attacks. Further examination revealed pulmonary sequestration in the right lower lobe. He therefore underwent a bidirectional Glenn operation and coil occlusion of the feeding arteries. His myocardial ischaemic attacks subsequently improved.
ISSN:1047-9511
1467-1107
DOI:10.1017/S1047951116001037