Intrapulmonary artery septation for unilateral absence of the pulmonary artery

Author:

Koizumi Junichi1ORCID,Iwase Tomoyuki1,Tsuji Shigeto1,Goto Takuya1,Oyama Kotaro2,Kin Hajime1

Affiliation:

1. Department of Cardiovascular Surgery, Iwate Medical University Hospital, Iwate Prefecture, Japan

2. Department of Pediatric Cardiology, Iwate Medical University Hospital, Iwate Prefecture, Japan

Abstract

We describe a seven-month-old boy with tetralogy of Fallot and an absent left pulmonary artery. Due to the diminutive size of the left pulmonary artery, we performed a native tissue left pulmonary artery reconstruction and intrapulmonary artery septation procedure with a left modified Blalock-Taussig shunt. After confirming left pulmonary artery growth, the patient underwent tetralogy of Fallot repair, removal of septation patch, and division of the Blalock-Taussig shunt. Nine months post-surgery, we confirmed his balanced lung perfusion (R/L ratio 6:4). The intrapulmonary artery septation procedure would be suitable for both the resuscitation and reconstruction of the hypoplastic absent pulmonary artery.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,General Medicine,Surgery

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