eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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SCImago Journal & Country Rank
1/2015
vol. 11
 
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abstract:

Paediatric cardiology
Hybrid stent implantation to the pulmonary artery from peripheral access via recruited systemic-pulmonary shunt

Ireneusz Haponiuk
,
Maciej Chojnicki
,
Mariusz Steffens
,
Radosław Jaworski
,
Konrad Paczkowski
,
Aneta Szofer-Sendrowska
,
Katarzyna Gierat-Haponiuk

Postep Kardiol Inter 2015; 11, 1 (39): 48–49
Online publish date: 2015/03/06
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The implantation of vascular stents in patients with low body weight and difficult anatomy of the stenosis needs individual cannulation strategy or a hybrid approach. We present a successful balloon angioplasty with direct stent implantation to severe ostial stenosis of the left pulmonary artery to xenograft anastomosis (LPA) in a 6-year-old boy late after surgical correction of pulmonary atresia with ventricular septal defect. Peripheral approach to LPA was possible after surgical rethoracotomy and the recruitment of a left Blalock-Taussig (BT) shunt stump. The cooperation of cardiovascular intervention with surgical approach appears a safe strategy for borderline patients referred for staged treatment of complex congenital heart defects.
keywords:

congenital heart defects, hybrid treatment

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