open access

Vol 10, No 1 (2015)
Case Reports
Published online: 2015-03-02
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Left pulmonary artery stent implantation guided with three-dimensional rotational angiography (3DRA)

Sebastian Góreczny, Paweł Dryżek, Jadwiga Anna Moll, Tomasz Moszura
DOI: 10.5603/FC.2015.0008
·
Folia Cardiologica 2015;10(1):49-53.

open access

Vol 10, No 1 (2015)
Case Reports
Published online: 2015-03-02

Abstract

Patients with hypoplastic left heart syndrome require multistage surgical treatment, often supported with additional percutaneous interventions. In this population normal development of pulmonary vasculature is crucial, as it belongs to key factors reducing complication rate at all stages of palliation. Transcatheter interventions allow for significant improvement of pulmonary blood flow but they can be very challenging in the youngest patients. Three-dimensional rotational angiography (3DRA) is an emerging imaging modality that enables detailed visualization of pulmonary arteries, not achievable in standard angiography. In presented patient with univentricular heart and pulmonary artery hypoplasia 3DRA proved helpful in qualification, monitoring and final evaluation of stent implantation.

Abstract

Patients with hypoplastic left heart syndrome require multistage surgical treatment, often supported with additional percutaneous interventions. In this population normal development of pulmonary vasculature is crucial, as it belongs to key factors reducing complication rate at all stages of palliation. Transcatheter interventions allow for significant improvement of pulmonary blood flow but they can be very challenging in the youngest patients. Three-dimensional rotational angiography (3DRA) is an emerging imaging modality that enables detailed visualization of pulmonary arteries, not achievable in standard angiography. In presented patient with univentricular heart and pulmonary artery hypoplasia 3DRA proved helpful in qualification, monitoring and final evaluation of stent implantation.

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Keywords

hypoplastic left heart syndrome, imaging, percutaneous intervention

About this article
Title

Left pulmonary artery stent implantation guided with three-dimensional rotational angiography (3DRA)

Journal

Folia Cardiologica

Issue

Vol 10, No 1 (2015)

Pages

49-53

Published online

2015-03-02

DOI

10.5603/FC.2015.0008

Bibliographic record

Folia Cardiologica 2015;10(1):49-53.

Keywords

hypoplastic left heart syndrome
imaging
percutaneous intervention

Authors

Sebastian Góreczny
Paweł Dryżek
Jadwiga Anna Moll
Tomasz Moszura

References (7)
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  2. Moszura T, Góreczny S, Dryżek P. Hypoplastic left heart syndrome - a review of supportive percutaneous treatment. Postepy Kardiol Interwencyjnej. 2014; 10(3): 201–208.
  3. Hosein RBM, Clarke AJB, McGuirk SP, et al. Factors influencing early and late outcome following the Fontan procedure in the current era. The 'Two Commandments'? Eur J Cardiothorac Surg. 2007; 31(3): 344–353.
  4. Moszura T, Dryzek P, Goreczny S, et al. A 10-year single-centre experience in percutaneous interventions for multi-stage treatment of hypoplastic left heart syndrome. Cardiol Young. 2014; 24(1): 54–63.
  5. Berman DP, Khan DM, Gutierrez Y, et al. The use of three-dimensional rotational angiography to assess the pulmonary circulation following cavo-pulmonary connection in patients with single ventricle. Catheter Cardiovasc Interv. 2012; 80(6): 922–930.
  6. Sharma V, Deo SV, Huebner M, et al. In search of the ideal pulmonary blood source for the Norwood procedure: a meta-analysis and systematic review. Ann Thorac Surg. 2014; 98(1): 142–150.
  7. Dave H, Rosser B, Knirsch W, et al. Hybrid approach for hypoplastic left heart syndrome and its variants: the fate of the pulmonary arteries. Eur J Cardiothorac Surg. 2014; 46(1): 14–19.

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