Use of a Modified Classic BT Shunt in a Patient With Multiple Conduit Obstructions With Positive Lupus Anticoagulant.

Autor: Bhattarai P; Department Of Pediatrics, Children's Medical Center, University of Texas Southwestern Medical School, Dallas, TX, USA.; Division of Critical Care, Children's Medical Center, University of Texas Southwestern Medical School, Dallas, TX, USA., Zia A; Department Of Pediatrics, Children's Medical Center, University of Texas Southwestern Medical School, Dallas, TX, USA.; Division of Hematology-Oncology, Children's Medical Center, University of Texas Southwestern Medical School, Dallas, TX, USA., Forbess JM; Department Of Pediatrics, Children's Medical Center, University of Texas Southwestern Medical School, Dallas, TX, USA.; Division of Cardiothoracic Surgery, Children's Medical Center, University of Texas Southwestern Medical School, Dallas, TX, USA., Guleserian KJ; Department Of Pediatrics, Children's Medical Center, University of Texas Southwestern Medical School, Dallas, TX, USA.; Division of Cardiothoracic Surgery, Children's Medical Center, University of Texas Southwestern Medical School, Dallas, TX, USA., Hupp SR; Department Of Pediatrics, Children's Medical Center, University of Texas Southwestern Medical School, Dallas, TX, USA.; Division of Critical Care, Children's Medical Center, University of Texas Southwestern Medical School, Dallas, TX, USA., Pirolli T; Department Of Pediatrics, Children's Medical Center, University of Texas Southwestern Medical School, Dallas, TX, USA.; Division of Cardiothoracic Surgery, Children's Medical Center, University of Texas Southwestern Medical School, Dallas, TX, USA.
Jazyk: angličtina
Zdroj: World journal for pediatric & congenital heart surgery [World J Pediatr Congenit Heart Surg] 2020 Jul; Vol. 11 (4), pp. NP25-NP26. Date of Electronic Publication: 2017 Apr 19.
DOI: 10.1177/2150135116688180
Abstrakt: The use of a right ventricle-to-pulmonary artery conduit has re-emerged as a popular alternative to a systemic artery-to-pulmonary artery shunt in the Norwood procedure. Both proximal obstruction secondary to dynamic compression and distal obstruction at the anastomosis site with the pulmonary arteries are well described. In an effort to prevent complications, a technique where in the conduit is placed through the entire full thickness, or dunked, through the RV free wall has been described. We report a case of a patient with HLHS and positive lupus anticoagulant who developed recurrent conduit obstructions. The "Sano" was abandoned in favor of an autologous source of pulmonary blood flow-the modified Blalock-Taussig shunt using the "turn down" of the carotid artery.
Databáze: MEDLINE