Hostname: page-component-76fb5796d-9pm4c Total loading time: 0 Render date: 2024-04-26T03:41:31.237Z Has data issue: false hasContentIssue false

Spontaneous closure of arterio-venous pulmonary fistulas by redirection of hepatic venous blood 9 years after Glenn anastomosis in a 12-year-old girl

Published online by Cambridge University Press:  05 September 2019

Katarzyna Gendera*
Affiliation:
Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technische Universität München, Germany
Andreas Eicken
Affiliation:
Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technische Universität München, Germany
Peter Ewert
Affiliation:
Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technische Universität München, Germany
*
Author for correspondence: Katarzyna Gendera, Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technische Universität München, Germany, Lazarettstr. 36, 80636 München. Tel: +48 509717844; Fax: +49 (0) 89 1218-3013; E-mail: gendera@dhm.mhn.de

Abstract

We report on a 12-year-old girl with Ebstein’s anomaly after a unidirectional Glenn procedure with surgical ligation of the proximal right pulmonary artery, who suffered from significant central cyanosis caused by multiple arterio-venous fistulas in the right lung. The continuity between the right pulmonary artery and the pulmonary trunk was restored with the use of radiofrequency perforation and consecutive covered stent implantation.

Type
Brief Report
Copyright
© Cambridge University Press 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Hoffman, JI. Normal and abnormal pulmonary arteriovenous shunting: occurrence and mechanisms. Cardiol Young 2013; 23: 629641.CrossRefGoogle ScholarPubMed
Celermajer, DS, Bull, C, Till, JA, et al. Ebstein’s anomaly: presentation and outcome from fetus to adult. J Am Coll Cardiol 1994; 23: 170176.CrossRefGoogle ScholarPubMed
da Silva, JP, Baumgratz, JF, da Fonseca, L, et al. The cone reconstruction of the tricuspid valve in Ebstein’s anomaly. The operation: early and midterm results. J Thorac Cardiovasc Surg 2007; 133: 215223.CrossRefGoogle ScholarPubMed
Lange, R, Burri, M, Eschenbach, LK, et al. Da Silva’s cone repair for Ebstein’s anomaly: effect on right ventricular size and function. Eur J Cardiothorac Surg 2015; 48: 311316.CrossRefGoogle ScholarPubMed
Sirivella, S, Gielchinsky, I. Surgery of the Ebstein’s anomaly: early and late outcomes. 2011; J Card Surg 26: 227233.CrossRefGoogle ScholarPubMed
Kreutzer, C, Mayorquim, RC, Kreutzer, GO, et al. Experience with one and a half ventricle repair. J Thorac Cardiovasc Surg 1999; 117: 662668.CrossRefGoogle ScholarPubMed
Papagiannis, J, Apostolopoulou, S, Sarris, GE, et al. Diagnosis and management of pulmonary arteriovenous malformations. Images in Paediatric Cardiology 2002; 4: 3349.Google ScholarPubMed
Praus, A, Eicken, A, Balling, G, et al. Progressive intrapulmonary shunting in a child after bidirectional Glenn operation only resolved after total cavopulmonary completion. Int J Cardiol 2008; 128: e12e15.CrossRefGoogle Scholar
Butera, G, Heles, M, Carminati, M. Percutaneous treatment of aortic isthmus atresia: use of radiofrequency perforation and covered stents. Catheter Cardiovasc Interv 2011; 78: 933939.CrossRefGoogle ScholarPubMed
Hausdorf, G, Schulze-Neick, I, Lange, PE. Radiofrequency-assisted ‘reconstruction’ of the right ventricular outflow tract in muscular pulmonary atresia with ventricular septal defect. British Heart J 1993; 69: 343346.CrossRefGoogle ScholarPubMed