Rehabilitation of pulmonary artery in congenital unilateral absence of intrapericardial pulmonary artery

The Journal of Thoracic and Cardiovascular Surgery
Gi Beom KimYong Jin Kim

Abstract

We evaluated the efficacy of the early rehabilitation of remnant pulmonary artery in unilateral absent intrapericardial pulmonary artery and the factors affecting pulmonary artery growth. We retrospectively reviewed the medical records and imaging modalities of 15 patients with unilateral absent intrapericardial pulmonary artery (7 left and 8 right; median age at diagnosis, 5 months) from 1991 to 2008. The remnant pulmonary artery was found in 12 patients (mean diameter, 2.6 ± 0.7 mm) at the hilum. Eleven patients underwent operation (main pulmonary artery flap angioplasty in 5 patients; tube graft interposition in 6 patients), and 4 patients were inoperable. Transcatheter balloon angioplasty or stent implantation was required for the remaining pulmonary artery stenosis in 6 patients (55%). The last ipsilateral lung perfusion proportion at lung perfusion scan was 39% (range, 15%-51%), and the Z value of the last ipsilateral pulmonary artery diameter was -0.5 (range, -4.2 to 2). The patients with a smaller initial remnant pulmonary artery required more interventions (P = .003). The final perfusion proportion of affected lung was higher in the patients treated early (≤6 months, n = 7) than in those treated late (>6 months, n = 4)...Continue Reading

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Citations

Dec 6, 2012·Interactive Cardiovascular and Thoracic Surgery·Leo A BockeriaSergey B Zaets
Mar 27, 2013·Interactive Cardiovascular and Thoracic Surgery·Patrick M E NoonanOliver Stumper
Jul 8, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Thomas FaganAnne Neubauer
Feb 8, 2014·The Journal of Thoracic and Cardiovascular Surgery·Carlos M MeryHenri Justino
Feb 14, 2014·The Journal of Thoracic and Cardiovascular Surgery·Sarosh P BatlivalaAudrey C Marshall
Aug 19, 2015·American Journal of Respiratory and Critical Care Medicine·Hirokazu TaniguchiKensuke Suzuki
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Jul 10, 2020·Annals of Pediatric Cardiology·Giovanbattista CalabriGiuseppe Santoro
Jan 30, 2021·BMC Cardiovascular Disorders·Mohammadreza EdrakiMohammad Javad Nobahkti
Feb 16, 2021·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Pankaj JariwalaKartik Pandurang Jadhav
Feb 24, 2021·BMJ Case Reports·Saurav JainJagdish Prasad Goyal

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