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Right arrow Congenital - cyanotic

J Thorac Cardiovasc Surg 2006;131:e3-e4
© 2006 The American Association for Thoracic Surgery

Brief Communication

Effect of patent ductus arteriosus stenting on subsequent bidirectional Glenn anastomosis: A word of caution

Ghassan Baslaim, MD *

Division of Cardiothoracic Surgery, Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.

Received for publication December 7, 2005; accepted for publication December 27, 2005.

* Address for reprints: Ghassan Baslaim, MD, MBC-J 16, PO Box 40047, Jeddah 21499, Saudi Arabia. (Email: gbaslaim@hotmail.com).

The first 20% of the full text of this article appears below.


Figure 1
Dr G. Baslaim


Patent ductus arteriosus (PDA) stent implantation in patients with cyanoticcongenital heart disease and duct-dependent pulmonary blood flow is technically feasible and provides an effective alternative to surgical systemic-to-pulmonary artery shunts. 1 Go

In this report 3 cases of constructed bidirectional Glenn (BDG) shunt preceded by PDA stent implantation have resulted in an unexpected complicated course. To the best of my knowledge, no reports have appeared describing such a postoperative complication.

Clinical Summary

Three patients underwent BDG shunt procedures after previous PDA stent implantation for their duct-dependant pulmonary blood flow congenital heart disease (Table 1). All 3 patients had complete preoperative cardiac evaluation, and none of them were subjected to previous cardiovascular surgeries.


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  		TABLE 1. Summary of clinical data
 
All BDG shunt procedures were performed through a median sternotomy. The superior vena cava was anastomosed in an end-to-side fashion to the right pulmonary artery, and the PDA was ligated. Therefore no additional source of pulmonary blood flow was maintained. . . . [Full Text of this Article]




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Ductal stenting retrains the left ventricle in transposition of great arteries with intact ventricular septum.
J. Thorac. Cardiovasc. Surg., November 1, 2006; 132(5): 1081 - 1086.
[Abstract] [Full Text] [PDF]


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