Intrapulmonary artery septation for unilateral absence of the pulmonary artery. (May 2022)

• Record Type: Journal Article
• Authors: Koizumi, Junichi; Iwase, Tomoyuki; Tsuji, Shigeto; Goto, Takuya; Oyama, Kotaro; Kin, Hajime
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 30:Number 4(2022)
• Page Start: 477
• Page End: 479
• Publication Date: 2022-05
• Subjects: Blalock-Taussig procedure -- congenital heart defect -- cardiac surgical procedures -- multiple abnormalities -- pulmonary artery -- tetralogy of Fallot; 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: 10.1177/02184923211013998
• Languages: English
• ISSNs: 0218-4923

Abstract

We describe a seven-month-old boy with tetralogy of Fallot and an absent left pulmonary artery. Due to the diminutive size of the left pulmonary artery, we performed a native tissue left pulmonary artery reconstruction and intrapulmonary artery septation procedure with a left modified Blalock-Taussig shunt. After confirming left pulmonary artery growth, the patient underwent tetralogy of Fallot repair, removal of septation patch, and division of the Blalock-Taussig shunt. Nine months post-surgery, we confirmed his balanced lung perfusion (R/L ratio 6:4). The intrapulmonary artery septation procedure would be suitable for both the resuscitation and reconstruction of the hypoplastic absent pulmonary artery.