Relief of Anteriorly Translocated Pulmonary Artery Compression With a Nuss Bar.

Kim, Hyungtae; Sung, Si Chan; Choi, Kwang Ho; Son, Bong Soo; Doo Lee, Hyoung; Kim, Geena; Ko, Hoon · Ann Thorac Surg · 2019

case_series · Level IV

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Abstract

A concomitant anterior translocation of the right pulmonary artery (RPA) can be used in patients with airway compression by a dilated RPA associated with congenital heart disease having a large left-to-right shunt or aortic arch anomaly. However a chest wall deformity and mechanical compression of the anteriorly translocated RPA could develop after the operation. In this situation simple RPA angioplasty is not sufficient. Therefore we adopted a technique to perform a concomitant Nuss procedure in an effort to resolve this problem. After 8 months of follow-up a widely patent RPA and a normal appearance of the chest wall were confirmed.

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