Catheter conversion of classic glenn to bidirectional glenn with closure of left central shunt years after surgical attempts
Bidirectional Glenn shunt is usually performed in patients with single ventricle in preparation for a total cavo‐pulmonary connection. We present a patient born with complex congenital heart disease consisting of single ventricle, pulmonary atresia, non confluent pulmonary arteries, and anomalous pu...
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| Veröffentlicht in: | Catheterization and cardiovascular interventions 2013-11, Vol.82 (5), p.E688-E693 |
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| container_title | Catheterization and cardiovascular interventions |
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| creator | Ebeid, Makram R. Gaymes, Charles H. |
| description | Bidirectional Glenn shunt is usually performed in patients with single ventricle in preparation for a total cavo‐pulmonary connection. We present a patient born with complex congenital heart disease consisting of single ventricle, pulmonary atresia, non confluent pulmonary arteries, and anomalous pulmonary venous return in whom surgical bidirectional Glenn was attempted. After multiple surgical attempts she was converted to a Classic Glenn and a central ascending aorta to left pulmonary artery shunt. Several years later by the aid of radiofrequency wire the occluded pulmonary artery segment was canalized establishing continuity between the two pulmonary artery branches with stenting of the intervening segment. The central shunt to the left pulmonary artery was subsequently embolized. Thus this patient was converted in the catheterization laboratory from the physiology of a classic Glenn to the more preferred bidirectional Glenn physiology. © 2011 Wiley Periodicals, Inc. |
| doi_str_mv | 10.1002/ccd.23142 |
| format | Article |
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We present a patient born with complex congenital heart disease consisting of single ventricle, pulmonary atresia, non confluent pulmonary arteries, and anomalous pulmonary venous return in whom surgical bidirectional Glenn was attempted. After multiple surgical attempts she was converted to a Classic Glenn and a central ascending aorta to left pulmonary artery shunt. Several years later by the aid of radiofrequency wire the occluded pulmonary artery segment was canalized establishing continuity between the two pulmonary artery branches with stenting of the intervening segment. The central shunt to the left pulmonary artery was subsequently embolized. Thus this patient was converted in the catheterization laboratory from the physiology of a classic Glenn to the more preferred bidirectional Glenn physiology. © 2011 Wiley Periodicals, Inc.</description><subject>Abnormalities, Multiple</subject><subject>Adolescent</subject><subject>Aortography</subject><subject>Cardiac Catheterization - instrumentation</subject><subject>Cardiac Catheters</subject><subject>Catheter Ablation - instrumentation</subject><subject>catheter intervention</subject><subject>complete occlusion</subject><subject>Coronary Circulation</subject><subject>Female</subject><subject>Fontan Procedure - adverse effects</subject><subject>Heart Defects, Congenital - diagnosis</subject><subject>Heart Defects, Congenital - physiopathology</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Heart Defects, Congenital - therapy</subject><subject>Humans</subject><subject>Phlebography</subject><subject>Pulmonary Artery - abnormalities</subject><subject>Pulmonary Artery - diagnostic imaging</subject><subject>Pulmonary Artery - physiopathology</subject><subject>Pulmonary Artery - surgery</subject><subject>Pulmonary Circulation</subject><subject>radio‐frequency wire</subject><subject>Reoperation</subject><subject>single ventricle</subject><subject>Stents</subject><subject>Treatment Outcome</subject><issn>1522-1946</issn><issn>1522-726X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10U1LIzEYB_Agyrbb3YNfYAl4cQ_VPM9k3o4y7osgeFHY25BJn9iU6aQmGaWwH97UdvcgeErI88s_hD9jpyAuQAi81HpxgRlIPGJTyBHnJRZ_jg97qGUxYZ9DWAkh6gLrT2yCkEsEUU3Z30bFJUXyXLvhmXywbuDOcN2rEKzmjz0NA4-Od3ZhPemY5qo_HL_YuEzShdHT7lJPJnJNQ_SJhOU4RL4l5QNXZvdCYo9Wp5GKkdabGL6wE6P6QF8P64w9_Pxx3_ye3979ummubuc6qyqcZ7kBRaIooahIVJjroso7g7pC6KpapnlhJAq9gMzIziiSplQmaSy7zOhsxs73uRvvnkYKsV3boKnv1UBuDC1IWYKoAWWiZ-_oyo0-fflN5YB1ISCp73ulvQvBk2k33q6V37Yg2l0lbaqkfask2W-HxLFb0-K__NdBApd78GJ72n6c1DbN9T7yFUG9ll8</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Ebeid, Makram R.</creator><creator>Gaymes, Charles H.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20131101</creationdate><title>Catheter conversion of classic glenn to bidirectional glenn with closure of left central shunt years after surgical attempts</title><author>Ebeid, Makram R. ; Gaymes, Charles H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3882-35f1ae067168e0825c685bf2c821b89435f6f420cd13f4bfae4f7af16827b3fc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Abnormalities, Multiple</topic><topic>Adolescent</topic><topic>Aortography</topic><topic>Cardiac Catheterization - instrumentation</topic><topic>Cardiac Catheters</topic><topic>Catheter Ablation - instrumentation</topic><topic>catheter intervention</topic><topic>complete occlusion</topic><topic>Coronary Circulation</topic><topic>Female</topic><topic>Fontan Procedure - adverse effects</topic><topic>Heart Defects, Congenital - diagnosis</topic><topic>Heart Defects, Congenital - physiopathology</topic><topic>Heart Defects, Congenital - surgery</topic><topic>Heart Defects, Congenital - therapy</topic><topic>Humans</topic><topic>Phlebography</topic><topic>Pulmonary Artery - abnormalities</topic><topic>Pulmonary Artery - diagnostic imaging</topic><topic>Pulmonary Artery - physiopathology</topic><topic>Pulmonary Artery - surgery</topic><topic>Pulmonary Circulation</topic><topic>radio‐frequency wire</topic><topic>Reoperation</topic><topic>single ventricle</topic><topic>Stents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ebeid, Makram R.</creatorcontrib><creatorcontrib>Gaymes, Charles H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Catheterization and cardiovascular interventions</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ebeid, Makram R.</au><au>Gaymes, Charles H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Catheter conversion of classic glenn to bidirectional glenn with closure of left central shunt years after surgical attempts</atitle><jtitle>Catheterization and cardiovascular interventions</jtitle><addtitle>Catheter Cardiovasc Interv</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>82</volume><issue>5</issue><spage>E688</spage><epage>E693</epage><pages>E688-E693</pages><issn>1522-1946</issn><eissn>1522-726X</eissn><coden>CARIF2</coden><abstract>Bidirectional Glenn shunt is usually performed in patients with single ventricle in preparation for a total cavo‐pulmonary connection. We present a patient born with complex congenital heart disease consisting of single ventricle, pulmonary atresia, non confluent pulmonary arteries, and anomalous pulmonary venous return in whom surgical bidirectional Glenn was attempted. After multiple surgical attempts she was converted to a Classic Glenn and a central ascending aorta to left pulmonary artery shunt. Several years later by the aid of radiofrequency wire the occluded pulmonary artery segment was canalized establishing continuity between the two pulmonary artery branches with stenting of the intervening segment. The central shunt to the left pulmonary artery was subsequently embolized. Thus this patient was converted in the catheterization laboratory from the physiology of a classic Glenn to the more preferred bidirectional Glenn physiology. © 2011 Wiley Periodicals, Inc.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>21542108</pmid><doi>10.1002/ccd.23142</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Abnormalities, Multiple Adolescent Aortography Cardiac Catheterization - instrumentation Cardiac Catheters Catheter Ablation - instrumentation catheter intervention complete occlusion Coronary Circulation Female Fontan Procedure - adverse effects Heart Defects, Congenital - diagnosis Heart Defects, Congenital - physiopathology Heart Defects, Congenital - surgery Heart Defects, Congenital - therapy Humans Phlebography Pulmonary Artery - abnormalities Pulmonary Artery - diagnostic imaging Pulmonary Artery - physiopathology Pulmonary Artery - surgery Pulmonary Circulation radio‐frequency wire Reoperation single ventricle Stents Treatment Outcome |
| title | Catheter conversion of classic glenn to bidirectional glenn with closure of left central shunt years after surgical attempts |
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