Percutaneous obliteration of left ventricular cavity to eliminate aortic regurgitation and presumed coronary steal in an infant with hypoplastic left heart syndrome
| Autor: | Howaida El-Said, Charissa R. Pockett, John W. Moore |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Regurgitation (circulation) 030204 cardiovascular system & hematology Hypoplastic left heart syndrome 03 medical and health sciences 0302 clinical medicine Internal medicine Medicine Radiology Nuclear Medicine and imaging cardiovascular diseases 030212 general & internal medicine health care economics and organizations Mitral regurgitation business.industry General Medicine medicine.disease Norwood Operation Surgery body regions Stenosis medicine.anatomical_structure Coronary steal Ventricle cardiovascular system Cardiology Norwood procedure Cardiology and Cardiovascular Medicine business |
| Zdroj: | Catheterization and Cardiovascular Interventions. 90:982-985 |
| ISSN: | 1522-1946 |
| DOI: | 10.1002/ccd.27138 |
| Popis: | The phenomenon of coronary steal is well known in the setting of HLHS (Hypoplastic Left Heart Syndrome) early after the Classical Norwood Operation. We report a rare case of an infant with HLHS [Severe Aortic Stenosis (AS), Mitral Stenosis (MS) and small Left Ventricle (LV)], who developed aortic regurgitation and presumed coronary steal late after the Sano Modification of the Norwood Procedure. Coronary steal developed secondary to progressive aortic and mitral regurgitation and resulted in poor right ventricular function and severe tricuspid regurgitation. We describe a novel interventional approach for obliteration of the LV cavity by using hydrogel coils. LV obliteration eliminated the presumed steal and resulted in improvement in ventricular function, tricuspid regurgitation and clinical course. |
| Databáze: | OpenAIRE |
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