Staged rehabilitation of ductal origin of the left pulmonary artery in an infant fallot's tetralogy

Isolation of a branch pulmonary artery from ductal closure is an unusual finding in patients with tetralogy of Fallot. A case report of a newborn is presented where the closing arterial duct was balloon‐dilated and stented to reestablish blood supply to the affected lung as a strategy of improving s...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2003-07, Vol.59 (3), p.392-395
Main Authors: Peirone, Alejandro, Lee, Kyong-Jin, Yoo, Shi-Joon, Musewe, Norman, Smallhorn, Jeffrey, Benson, Lee
Format: Article
Language:English
Subjects:
Abnormalities, Multiple - diagnosis
Abnormalities, Multiple - therapy
Angioplasty, Balloon - instrumentation
Angioplasty, Balloon - methods
Aorta - abnormalities
Aorta - diagnostic imaging
Aorta - surgery
Balloon Occlusion - methods
Biological and medical sciences
Blood Flow Velocity
Cardiac Catheterization
Cardiac Surgical Procedures - methods
Cardiology. Vascular system
Combined Modality Therapy
Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava
distal ductal origin of the left pulmonary artery
Echocardiography, Doppler
Echocardiography, Transesophageal
Female
Follow-Up Studies
Heart
Heart Defects, Congenital - diagnosis
Heart Defects, Congenital - therapy
Humans
Infant, Newborn
Magnetic Resonance Angiography
Medical sciences
Oxygen Consumption - physiology
patent arterial duct
Pulmonary Artery - abnormalities
Pulmonary Artery - diagnostic imaging
Pulmonary Artery - surgery
Risk Assessment
stent implantation
Stents
tetralogy of Fallot
Tetralogy of Fallot - diagnosis
Tetralogy of Fallot - therapy
Treatment Outcome
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Description
Summary:Isolation of a branch pulmonary artery from ductal closure is an unusual finding in patients with tetralogy of Fallot. A case report of a newborn is presented where the closing arterial duct was balloon‐dilated and stented to reestablish blood supply to the affected lung as a strategy of improving systemic saturations and promoting the growth of the hiliar branch pulmonary artery. Five months after the initial palliation, complete surgical repair with stent removal was successfully achieved. Cathet Cardiovasc Intervent 2003;59:392–395. © 2003 Wiley‐Liss, Inc.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.10538