Division of the main pulmonary artery: suboptimal palliation for the patient with a univentricular heart.
case_report · Level V
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- Record sourced from PubMed, PMID 9594895.
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Abstract
We describe a patient in whom a thrombus formed in the distal main pulmonary artery stump after a bidirectional Glenn procedure with division of the main pulmonary artery and in whom a restrictive inlet ventricular septal defect also developed. These findings emphasize the importance of maintaining antegrade flow through the pulmonary trunk and providing dual sources of ventricular outflow with a Damus-Kaye-Stansel anastomosis in patients with a univentricular heart without pulmonary stenosis.
Medical subject headings
- Heart Defects, Congenital
- Palliative Care
- Postoperative Complications
- Pulmonary Artery
- Thrombosis