Catheter conversion of classic Glenn to bidirectional Glenn with closure of left central shunt years after surgical attempts.

Abstract

Bidirectional Glenn shunt is usually performed in patients with single ventricle in preparation for a total cavo-pulmonary connection. We present a patient born with complex congenital heart disease consisting of single ventricle, pulmonary atresia, non confluent pulmonary arteries, and anomalous pulmonary venous return in whom surgical bidirectional Glenn was attempted. After multiple surgical attempts she was converted to a Classic Glenn and a central ascending aorta to left pulmonary artery shunt. Several years later by the aid of radiofrequency wire the occluded pulmonary artery segment was canalized establishing continuity between the two pulmonary artery branches with stenting of the intervening segment. The central shunt to the left pulmonary artery was subsequently embolized. Thus this patient was converted in the catheterization laboratory from the physiology of a classic Glenn to the more preferred bidirectional Glenn physiology.

• Authors: Makram R Ebeid, Charles H Gaymes
• Journal: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (Catheter Cardiovasc Interv) Vol. 82 Issue 5 Pg. E688-93 (Nov 01 2013) ISSN: 1522-726X [Electronic] United States
• PMID: 21542108 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2011 Wiley Periodicals, Inc.

Topics

• Abnormalities, Multiple
• Adolescent
• Aortography
• Cardiac Catheterization (instrumentation)
• Cardiac Catheters
• Catheter Ablation (instrumentation)
• Coronary Circulation
• Female
• Fontan Procedure (adverse effects)
• Heart Defects, Congenital (diagnosis, physiopathology, surgery, therapy)
• Humans
• Phlebography
• Pulmonary Artery (abnormalities, diagnostic imaging, physiopathology, surgery)
• Pulmonary Circulation
• Reoperation
• Stents
• Treatment Outcome