Transcatheter closure of antegrade pulmonary blood flow in a case with persistent pulmonary effusion following cavopulmonary anastomosis


Celebi A., Demir H., Aydemir N. A., Yucel İ. K., Erdem A.

TURK GOGUS KALP DAMAR CERRAHISI DERGISI-TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, cilt.21, sa.3, ss.746-749, 2013 (SCI-Expanded, Scopus, TRDizin) identifier

Özet

Preserving antegrade pulmonary blood flow in patients who are candidates for univentricular repair and receive palliation by the Glenn anastomosis is still controversial. In this article, a three-year-old girl underwent cavopulmonary anastomosis with preserved antegrade pulmonary blood flow. Cardiac catheterization performed for repetitive pleural effusions and superior vena cava syndrome revealed that the mean pulmonary artery pressure was quite elevated (27 mmHg) for Glenn anastomosis. The mean pulmonary arterial pressure was decreased to an acceptable level (17 mmHg) for Glenn anastomosis, by transcatheter occlusion of antegrade pulmonary blood flow using a Cardio-Fix Duct occluder.