Concomitant one-stage unifocalization and bidirectional Glenn procedure.

Abstract

A concomitant one-stage unifocalization and bidirectional Glenn procedure was performed in a patient with a functionally single ventricle, pulmonary atresia, and major aortopulmonary collateral arteries (MAPCAs). Reconstruction of the absent central pulmonary artery was achieved using the MAPCAs as well as the autologous pericardium. After 1 year, cineangiography and cardiac catheterization showed an excellent result: well-developed pulmonary arteries as well as low pressure in the superior vena cava. To the best of our knowledge, this is the first report of a successful concomitant one-stage unifocalization and bidirectional Glenn procedure.

• Authors: Eugen Sandica, Carsten Beck, Deniz Kececioglu, Nikolaus A Haas
• Journal: Pediatric cardiology (Pediatr Cardiol) Vol. 32 Issue 2 Pg. 224-6 (Feb 2011) ISSN: 1432-1971 [Electronic] United States
• PMID: 21085942 (Publication Type: Case Reports, Journal Article)

Topics

• Cardiac Catheterization
• Cardiopulmonary Bypass
• Cineangiography (instrumentation, methods)
• Collateral Circulation
• Fontan Procedure (methods)
• Heart Ventricles (abnormalities, surgery)
• Humans
• Infant
• Male
• Pericardium (surgery)
• Preoperative Care
• Pulmonary Artery (abnormalities, surgery)
• Pulmonary Atresia (diagnosis, pathology, surgery)
• Vena Cava, Superior