Systemic Arterial-to-Pulmonary Artery Shunt Utilization

Pulmonary artery stenosis after systemic-to-pulmonary shunt operations.

OBJECTIVE Systemic-to-pulmonary shunt operations are still required for palliation of certain congenital heart defects. The aim of this study was to analyze the incidence and etiology of the development of pulmonary artery stenosis after these procedures. METHODS AND RESULTS Pre- and post-operative angiograms of 59 patients who underwent 54 peripheral and 12 central shunt operations were anal...

ST segment depression after Norwood/systemic-pulmonary artery shunt.

Hybrid stent implantation to the pulmonary artery from peripheral access via recruited systemic-pulmonary shunt

The implantation of vascular stents in patients with low body weight and difficult anatomy of the stenosis needs individual cannulation strategy or a hybrid approach. We present a successful balloon angioplasty with direct stent implantation to severe ostial stenosis of the left pulmonary artery to xenograft anastomosis (LPA) in a 6-year-old boy late after surgical correction of pulmonary atres...

Intrapericardial Aortico-pulmonary Artery Shunt.

SYSTEMIC arterv to pulmonary artery shunts for the alleviation of eyanotic heart diseases, especially tetralogy of Fallot, have utilized essentially the Blalock-Taussigl or the Potts2 3 technics. More recently Glen.n4 5 has advocated anastomosis of superior vena eava to right pulnmonary arterv in side-to-end fashion for patients with certain eyanotic heart coonditions. A shunt between the aseen...

Computed Tomography Angiography Successfully Used to Diagnose Postoperative Systemic-Pulmonary Artery Shunt Narrowing

In recent years, there has been a marked reduction in surgical mortality for many complex forms of congenital heart disease. Treatment or palliative strategies vary but may include systemic-pulmonary central or Blalock-Taussig shunt. These shunts can be complicated by overcirculation, infection, thrombosis, and thromboembolism. Many diagnostic modalities are available to aide in diagnosis of po...