Neonatal Pulmonary Artery Reconstruction During Shunting to Treat and Prevent Juxtaductal Coarctation
Johann Brink, Robroy MacIver, Melissa GY Lee, Igor E Konstantinov, Michael Cheung, Christian P Brizard, Yves d'Udekem
The Annals of Thoracic Surgery | ELSEVIER SCIENCE INC | Published : 2015
BACKGROUND: Coarctation of the pulmonary artery may lead to its early obstruction. We investigated the outcomes of a strategy of aggressive reconstruction of the pulmonary arteries in the neonatal period. METHODS: From 2000 to 2013 a total of 162 consecutive neonates (< 90 days) underwent systemic-to-pulmonary shunting. Twenty-eight of them underwent the following concomitant reconstruction of the central pulmonary arteries: end-to-end anastomosis (4), patch reconstruction of the pulmonary arteries (24) with 0.4 mm Gore-Tex (W. L. Gore & Associates, Newark, DE) patch (18), or autologous pericardium (6). Ten patients were directed to univentricular palliation and 18 to biventricular repair. R..View full abstract
Yves d'Udekem is a Career Development Fellow of The National Heart Foundation of Australia (CR 10M 5339). This research project was supported by the Victorian Government's Operational Infrastructure Support Program. The authors thank Bill Reid, medical illustrator, for his assistance in producing the figures of this publication.