Repair of Unilateral Absence of Right Pulmonary Artery With Contralateral Pulmonary Artery Autograft Interposition in an Infant
Unilateral absence of the pulmonary artery (PA) is a rare congenital abnormality. Although a traditional 2-stage approach with a preceding systemic-to-PA shunt followed by a definitive repair is mandatory in patients with absent extrapericardial pulmonary arteries, more creative solutions are necess...
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Veröffentlicht in: | The Annals of thoracic surgery 2015-04, Vol.99 (4), p.1467-1469 |
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creator | Bilal, Mehmet Salih, MD Yildirim, Ozgur, MD Avsar, Mustafa, MD Ozyuksel, Arda, MD |
description | Unilateral absence of the pulmonary artery (PA) is a rare congenital abnormality. Although a traditional 2-stage approach with a preceding systemic-to-PA shunt followed by a definitive repair is mandatory in patients with absent extrapericardial pulmonary arteries, more creative solutions are necessary when 1-stage repair is concerned. We present a novel technique for repairing the absent intrapericardial right pulmonary artery (RPA) with a contralateral PA autograft segment interposition. We believe that this technique using solely autologous tissue is effective in patients in whom the intrapericardial segment of the PAs is absent. |
doi_str_mv | 10.1016/j.athoracsur.2014.12.036 |
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Although a traditional 2-stage approach with a preceding systemic-to-PA shunt followed by a definitive repair is mandatory in patients with absent extrapericardial pulmonary arteries, more creative solutions are necessary when 1-stage repair is concerned. We present a novel technique for repairing the absent intrapericardial right pulmonary artery (RPA) with a contralateral PA autograft segment interposition. We believe that this technique using solely autologous tissue is effective in patients in whom the intrapericardial segment of the PAs is absent.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2014.12.036</identifier><identifier>PMID: 25841844</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Angiography - methods ; Cardiothoracic Surgery ; Follow-Up Studies ; Heart Failure - diagnosis ; Heart Failure - etiology ; Humans ; Imaging, Three-Dimensional ; Infant ; Male ; Pulmonary Artery - abnormalities ; Pulmonary Artery - surgery ; Pulmonary Atresia - diagnostic imaging ; Pulmonary Atresia - surgery ; Pulmonary Circulation - physiology ; Rare Diseases ; Surgery ; Tomography, X-Ray Computed - methods ; Transplantation, Autologous ; Treatment Outcome ; Vascular Surgical Procedures - methods</subject><ispartof>The Annals of thoracic surgery, 2015-04, Vol.99 (4), p.1467-1469</ispartof><rights>The Society of Thoracic Surgeons</rights><rights>2015 The Society of Thoracic Surgeons</rights><rights>Copyright © 2015 The Society of Thoracic Surgeons. 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Although a traditional 2-stage approach with a preceding systemic-to-PA shunt followed by a definitive repair is mandatory in patients with absent extrapericardial pulmonary arteries, more creative solutions are necessary when 1-stage repair is concerned. We present a novel technique for repairing the absent intrapericardial right pulmonary artery (RPA) with a contralateral PA autograft segment interposition. We believe that this technique using solely autologous tissue is effective in patients in whom the intrapericardial segment of the PAs is absent.</description><subject>Angiography - methods</subject><subject>Cardiothoracic Surgery</subject><subject>Follow-Up Studies</subject><subject>Heart Failure - diagnosis</subject><subject>Heart Failure - etiology</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>Infant</subject><subject>Male</subject><subject>Pulmonary Artery - abnormalities</subject><subject>Pulmonary Artery - surgery</subject><subject>Pulmonary Atresia - diagnostic imaging</subject><subject>Pulmonary Atresia - surgery</subject><subject>Pulmonary Circulation - physiology</subject><subject>Rare Diseases</subject><subject>Surgery</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Transplantation, Autologous</subject><subject>Treatment Outcome</subject><subject>Vascular Surgical Procedures - methods</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkk2PFCEQhonRuLOrf8Fw9NItBXTTfTEZJ35ssolmdeOR0DTsMPbACLTJnPzr0plZTfTiiVA8L5V6UghhIDUQaF_tapW3ISqd5lhTArwGWhPWPkIraBpatbTpH6MVIYRVvBfNBbpMaVeutDw_RRe06Th0nK_Qz1tzUC7iYPGdd5PKJqoJr4dkvDZL9dbdbzP-NE_74FU84nUsyBF_dXmLN8Hngp9D_zDrOYf7qGzG174UDiG57ILHzmPlS80qn5-hJ1ZNyTw_n1fo7t3bL5sP1c3H99eb9U2luehzZcceOjWC6IEa0ROuxTC0g2UNY4TpcRhHwizlrW0NiIYJq4EPPSNi6JSyPbtCL0__HmL4PpuU5d4lbaZJeRPmJKEVQEEw0hW0O6E6hpSisfIQ3b7MJYHIRb_cyT_65aJfApVFf4m-OHeZh70ZfwcffBfgzQkwZdYfzkSZtFtUjy4aneUY3P90ef3XJ3py3mk1fTNHk3Zhjr64lCBTCcjPyxosWwCcUMa6jv0Ci-qy4w</recordid><startdate>20150401</startdate><enddate>20150401</enddate><creator>Bilal, Mehmet Salih, MD</creator><creator>Yildirim, Ozgur, MD</creator><creator>Avsar, Mustafa, MD</creator><creator>Ozyuksel, Arda, MD</creator><general>Elsevier 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>7X8</scope></search><sort><creationdate>20150401</creationdate><title>Repair of Unilateral Absence of Right Pulmonary Artery With Contralateral Pulmonary Artery Autograft Interposition in an Infant</title><author>Bilal, Mehmet Salih, MD ; Yildirim, Ozgur, MD ; Avsar, Mustafa, MD ; Ozyuksel, Arda, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c479t-fd918ad17912e7904c7bb6bf353303cdbdd03f246f6e17537fc14b9307b8aaf93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Angiography - methods</topic><topic>Cardiothoracic Surgery</topic><topic>Follow-Up Studies</topic><topic>Heart Failure - diagnosis</topic><topic>Heart Failure - etiology</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional</topic><topic>Infant</topic><topic>Male</topic><topic>Pulmonary Artery - abnormalities</topic><topic>Pulmonary Artery - surgery</topic><topic>Pulmonary Atresia - diagnostic imaging</topic><topic>Pulmonary Atresia - surgery</topic><topic>Pulmonary Circulation - physiology</topic><topic>Rare Diseases</topic><topic>Surgery</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Transplantation, Autologous</topic><topic>Treatment Outcome</topic><topic>Vascular Surgical Procedures - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bilal, Mehmet Salih, MD</creatorcontrib><creatorcontrib>Yildirim, Ozgur, MD</creatorcontrib><creatorcontrib>Avsar, Mustafa, MD</creatorcontrib><creatorcontrib>Ozyuksel, Arda, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bilal, Mehmet Salih, MD</au><au>Yildirim, Ozgur, MD</au><au>Avsar, Mustafa, MD</au><au>Ozyuksel, Arda, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Repair of Unilateral Absence of Right Pulmonary Artery With Contralateral Pulmonary Artery Autograft Interposition in an Infant</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2015-04-01</date><risdate>2015</risdate><volume>99</volume><issue>4</issue><spage>1467</spage><epage>1469</epage><pages>1467-1469</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>Unilateral absence of the pulmonary artery (PA) is a rare congenital abnormality. Although a traditional 2-stage approach with a preceding systemic-to-PA shunt followed by a definitive repair is mandatory in patients with absent extrapericardial pulmonary arteries, more creative solutions are necessary when 1-stage repair is concerned. We present a novel technique for repairing the absent intrapericardial right pulmonary artery (RPA) with a contralateral PA autograft segment interposition. We believe that this technique using solely autologous tissue is effective in patients in whom the intrapericardial segment of the PAs is absent.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>25841844</pmid><doi>10.1016/j.athoracsur.2014.12.036</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Angiography - methods Cardiothoracic Surgery Follow-Up Studies Heart Failure - diagnosis Heart Failure - etiology Humans Imaging, Three-Dimensional Infant Male Pulmonary Artery - abnormalities Pulmonary Artery - surgery Pulmonary Atresia - diagnostic imaging Pulmonary Atresia - surgery Pulmonary Circulation - physiology Rare Diseases Surgery Tomography, X-Ray Computed - methods Transplantation, Autologous Treatment Outcome Vascular Surgical Procedures - methods |
title | Repair of Unilateral Absence of Right Pulmonary Artery With Contralateral Pulmonary Artery Autograft Interposition in an Infant |
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