Hybrid Approach for Recanalization and Stenting of Acquired Pulmonary Vein Occlusion

Gur Mainzur, Eric Rosenthal, Conal Austin, Gareth Morgan

Evelina London Children’s Hospital. St Thomas’ Hospital.
United Kingdom

Pediatric Cardiology
Pediatr Cardiol 2016; 37: 983-985
DOI: 10.1007/s00246-016-1376-9

Abstract
A 5-year-old child with a Fontan circulation presented with acquired left pulmonary vein occlusion related to a previous surgical repair. We managed this lesion using a hybrid technique to perforate, dilate and stent the obstructed vessel. This approach should be considered when percutaneous access to the pulmonary veins is challenging (such as in a Fontan circulation). It also avoids the need for a high-risk redo sternotomy and cardiopulmonary bypass procedure.

Category
Stenosis or Obstruction of Pulmonary Veins Following Surgical Repair of Anomalous Pulmonary Venous Connections
Catheter-mediated Interventions: Efficacy or Lack of Efficacy
Surgical Interventions for Pulmonary Venous Obstruction After the Onset of Disease

Year of Publication: 2016

Age Focus: Pediatric

Article Type: Case Reports or Retrospective Observations in Small Groups of Patients (≤10 patients)

Article Access: Free PDF File or Full Text Article Available Through PubMed or DOI: No