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Prophylactic Pulmonary Artery Reduction in a Young Female with Severe Pulmonary Hypertension from Complete Atrioventricular Septal Defect

  • Lee, Sun Hyang (Department of Pediatrics, Seoul National University Children's Hospital) ;
  • Kwon, Bo Sang (Department of Pediatrics, Seoul National University Children's Hospital) ;
  • Kim, Gi Beom (Department of Pediatrics, Seoul National University Children's Hospital) ;
  • Bae, Eun Jung (Department of Pediatrics, Seoul National University Children's Hospital) ;
  • Noh, Chung Il (Department of Pediatrics, Seoul National University Children's Hospital) ;
  • Kim, Woong Han (Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital)
  • Received : 2016.03.27
  • Accepted : 2016.05.27
  • Published : 2017.01.31

Abstract

Management of severely dilated pulmonary artery (PA) associated with severe pulmonary hypertension from congenital heart disease remains controversial, primarily due to its rare nature and concern for perioperative unpredictable complications. Herein, we report a 25 year-old female with a severely dilated PA (up to 73 mm), who was successfully treated by a PA graft replacement by creating a Y-shaped conduit using a 28 mm hemashield tube in the main PA and a 20 mm hemashield tube in both proximal parts of the branch PA.

Keywords

References

  1. Mesquita SM, Castro CR, Ikari NM, Oliveira SA, Lopes AA. Likelihood of left main coronary artery compression based on pulmonary trunk diameter in patients with pulmonary hypertension. Am J Med 2004;116:369-74. https://doi.org/10.1016/j.amjmed.2003.11.015
  2. Degano B, Prevot G, Tetu L, Sitbon O, Simonneau G, Humbert M. Fatal dissection of the pulmonary artery in pulmonary arterial hypertension. Eur Respir Rev 2009;18:181-5. https://doi.org/10.1183/09059180.00002909
  3. Zylkowska J, Kurzyna M, Florczyk M, et al. Pulmonary artery dilatation correlates with the risk of unexpected death in chronic arterial or thromboembolic pulmonary hypertension. Chest 2012;142:1406-16. https://doi.org/10.1378/chest.11-2794
  4. Boerrigter B, Mauritz GJ, Marcus JT, et al. Progressive dilatation of the main pulmonary artery is a characteristic of pulmonary arterial hypertension and is not related to changes in pressure. Chest 2010;138:1395-401. https://doi.org/10.1378/chest.10-0363
  5. Sahay S, Tonelli AR. Ventricular fibrillation caused by extrinsic compression of the left main coronary artery. Heart 2013;99:895-6. https://doi.org/10.1136/heartjnl-2012-303408
  6. Duijnhouwer AL, Navarese EP, Van Dijk AP, Loeys B, Roos-Hesselink JW, De Boer MJ. Aneurysm of the pulmonary artery, a systematic review and critical analysis of current literature. Congenit Heart Dis 2016;11:102-9. https://doi.org/10.1111/chd.12316
  7. Sakuma M, Demachi J, Suzuki J, Nawata J, Takahashi T, Shirato K. Proximal pulmonary artery aneurysms in patients with pulmonary artery hypertension: complicated cases. Intern Med 2007;46:1789-93. https://doi.org/10.2169/internalmedicine.46.0187
  8. Choi YJ, Kim U, Lee JS, et al. A case of extrinsic compression of the left main coronary artery secondary to pulmonary artery dilatation. J Korean Med Sci 2013;28:1543-8. https://doi.org/10.3346/jkms.2013.28.10.1543
  9. Williams TE Jr, Schiller M, Craenen J, Hosier DM, Sirak HD. Pulmonary artery aneurysm. Successful excision and replacement of the main pulmonary artery. J Thorac Cardiovasc Surg 1971;62:63-7.

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