Surgical management of iatrogenic occluded left pulmonary artery. (June 2019)

• Record Type: Journal Article
• Authors: Sadeghpour Tabaie, Ali; Behjati, Mohaddeseh; Mortezaeian, Hojjat; Pouraliakbar, Hamid Reza; Ghadrdoost, Behshid; Baharestani, Bahador
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 27:Number 5(2019)
• Page Start: 396
• Page End: 399
• Publication Date: 2019-06
• Subjects: Computed tomography angiography -- ductus arteriosus -- patent -- ligation -- postoperative complications -- pulmonary artery -- vascular surgical procedures; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492318805922
• Languages: English
• ISSNs: 0218-4923

Abstract

A 4-year-old boy developed dyspnea 18 months after attempted surgical patent ductus arteriosus closure using a clip that was inadvertently placed on the left pulmonary artery, followed by reoperation to repair the left pulmonary artery with a patch and re-close the ductus. Computed tomography angiography confirmed a large patent ductus arteriosus, left pulmonary artery occlusion, and patent left pulmonary veins. Therefore, a third surgery was performed for suture closure of the ductus and left pulmonary artery repair with an interposition tube graft. Follow-up by transthoracic echocardiography and computed tomography angiography showed good flow in the left and right pulmonary arteries.