Hostname: page-component-848d4c4894-wzw2p Total loading time: 0 Render date: 2024-05-01T10:18:40.144Z Has data issue: false hasContentIssue false

Transcatheter recanalisation for absent intra-pericardial pulmonary arteries

Published online by Cambridge University Press:  05 April 2024

Amr A. Matoq*
Affiliation:
Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
Daphney Kernizan
Affiliation:
Cardiac Center, Nemours Children’s Hospital, Orlando, FL, USA
Wolfgang Radtke
Affiliation:
Nemours Cardiac Center, Alfred I DuPont Hospital for Children, Wilmington, DE, USA
*
Corresponding author: Amr A. Matoq; Email: amrmatoq@gmail.com

Abstract

Unilateral absence of intra-pericardial pulmonary artery is a rare congenital malformation. If untreated, it can lead to morbidity and mortality in adulthood. Early intervention and restoration of physiologic pulmonary blood flow is necessary. Transcatheter stenting as initial intervention has been rarely reported. We present transcatheter recanalisation and stenting of the obliterated ductus in two newborns with unilateral absence of intra-pericardial pulmonary artery with cross-sectional imaging, procedural details, angiography, and follow up to surgical repair. We believe that such procedure promotes ipsilateral pulmonary vasculature growth to facilitate unifocalization surgery at a later age.

Type
Brief Report
Copyright
© The Author(s), 2024. Published by Cambridge University Press

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

Bockeria, LA, Makhachev, OA, Khiriev, TK, Abramyan, MA. Congenital isolated unilateral absence of pulmonary artery and variants of collateral blood supply of the ipsilateral lung. Interact Cardiov Thora Surg 2011; 12: 509510.CrossRefGoogle ScholarPubMed
Bouros, D, Pare, P, Panagou, P, Tsintiris, K, Siafakas, N. The varied manifestation of pulmonary artery agenesis in adulthood. Chest 1995; 108: 670676.CrossRefGoogle ScholarPubMed
Ten Harkel, AD, Blom, NA, Ottenkamp, J. Isolated unilateral absence of a pulmonary artery: a case report and review of the literature. Chest 2002; 122: 14711477.CrossRefGoogle ScholarPubMed
Welch, K, Hanley, F, Johnston, T, Cailes, C, Shah, MJ. Isolated unilateral absence of right proximal pulmonary artery: surgical repair and follow-up. Ann Thorac Surg 2005; 79: 13991402.CrossRefGoogle ScholarPubMed
Shanley, CJ, Lupinetti, FM, Shah, NL, Beekman, RH, Crowley, DC, Bove, EL. Primary unifocalization for the absence of intrapericardial pulmonary arteries in the neonate. J Thoracic Cardiovas Surg 1993; 106: 237247.CrossRefGoogle ScholarPubMed
Stamm, C, Friehs, I, Zurakowski, D, et al. Outcome after reconstruction of discontinuous pulmonary arteries. J Thoracic Cardiovas Surg 2002; 123: 246257.CrossRefGoogle ScholarPubMed
Al-Khaldi, A, Tamimi, O, Sallam, M. Surgical experience in the rehabilitation and reimplantation of disconnected pulmonary arteries and its effectiveness in restoring pulmonary haemodynamics and function. Eur J Cardio-Thora Surg 2016; 50: 304310.CrossRefGoogle ScholarPubMed
Krammoh, EK, Bigras, J-L, Prsa, M, Lapierre, C, Miró, J, Dahdah, NS. Therapeutic strategies in children with an isolated unilaterally absent proximal pulmonary artery. Pediatr Cardiol 2010; 31: 607610.CrossRefGoogle ScholarPubMed
Mery, CM, Molina, KM, Krishnamurthy, R, Fraser, CD, Justino, H. Pulmonary artery resuscitation for isolated ductal origin of a pulmonary artery. J Thoracic Cardiovas Surg 2014; 148: 22352244.e1.CrossRefGoogle ScholarPubMed
Santoro, G, Capozzi, G, Giordano, M, et al. Fate of duct-dependent, discontinuous pulmonary arteries after arterial duct stenting. Pediatr Cardiol 2017; 38: 13701376.CrossRefGoogle ScholarPubMed
Prabhu, S, Maiya, S, Shetty, R, Murthy, K, Ramachandra, P. Staged hybrid approach for ductal origin of the pulmonary artery in a low birth weight neonate. World J Pediatric Congen heart surg 2019; 12: 429432.CrossRefGoogle Scholar
Apostolopoulou, SC, Kelekis, NL, Brountzos, EN, Rammos, S, Kelekis, DA. Absent’ pulmonary artery in one adult and five pediatric patients: imaging, embryology, and therapeutic implications. Am J Roentgenol 2002; 179: 12531260.CrossRefGoogle ScholarPubMed
Haworth, SG, McKenzie, SA, Fitzpatrick, ML. Alveolar development after ligation of left pulmonary artery in newborn pig: clinical relevance to unilateral pulmonary artery. Thorax 1981; 36: 938943.CrossRefGoogle ScholarPubMed
Batlivala, SP, McElhinney, DB, Pigula, FA, Marshall, AC. Isolated pulmonary artery arising from a duct: a single-center review of diagnostic and therapeutic strategies. J Thoracic Cardiovas Surg 2014; 148: 22452252.CrossRefGoogle ScholarPubMed
Kim, GB, Ban, JE, Bae, EJ, et al. Rehabilitation of pulmonary artery in congenital unilateral absence of intrapericardial pulmonary artery. J Thoracic Cardiovas Surg 2011; 141: 171178.CrossRefGoogle ScholarPubMed
Trivedi, KR, Karamlou, T, Yoo, S-J, Williams, WG, Freedom, RM, McCrindle, BW. Outcomes in 45 children with ductal origin of the distal pulmonary artery. Annals Thorac Surg 2006; 81: 950957.CrossRefGoogle ScholarPubMed
Reese, J, Scott, TA, Patrick, SW. Changing patterns of patent ductus arteriosus surgical ligation in the United States. Semin Perinatol 2018; 42: 253261.CrossRefGoogle ScholarPubMed
Umezu, K, Harada, Y, Sakamoto, T, Takigiku, K, Yasukochi, S. Unilateral absence of right proximal pulmonary artery in the setting of severe pulmonary hypertension: considerations for surgical repair and perioperative management. General Thorac Cardiovas Surg 2012; 60: 367369.CrossRefGoogle ScholarPubMed