open access

Vol 70, No 2 (2012)
Nasze forum - kardiolodzy i kardiochirurdzy razem
Published online: 2012-02-17
Submitted: 2012-12-28
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Treatment of elevated pulmonary artery pressure in a child after Glenn procedure: transcatheter closure of pulmonary artery banding with subsequent sildenafil therapy

Jose Pascual Salas Llamas, Małgorzata Szkutnik, Roland Fiszer, Jacek Białkowski
Kardiol Pol 2012;70(2):201-203.

open access

Vol 70, No 2 (2012)
Nasze forum - kardiolodzy i kardiochirurdzy razem
Published online: 2012-02-17
Submitted: 2012-12-28

Abstract

An additional source of pulmonary blood flow in a patient with bidirectional Glenn procedure (BGD) may cause elevation of mean pulmonary artery pressure (MPAP), precluding safe completion of the Fontan operation. We present a case of single ventricle physiology after pulmonary artery banding (PAB) and Glenn procedure. At the age of six years, cardiac catheterisation revealed in the patient elevated MPAP (22 mm Hg). The PAB was closed through the right internal jugular vein with an Amplatzer Atrial Septal Occluder. After the procedure, MPAP remained at a similar level. Sildenafil oral therapy was applied for six months. Subsequent heart catheterisation confirmed complete closure of PAB and decrease of MPAP to 10 mm Hg. The abovementioned complex treatment of elevated MPAP pressure in a child after Glenn therapy allowed safe completion of the Fontan operation.

Abstract

An additional source of pulmonary blood flow in a patient with bidirectional Glenn procedure (BGD) may cause elevation of mean pulmonary artery pressure (MPAP), precluding safe completion of the Fontan operation. We present a case of single ventricle physiology after pulmonary artery banding (PAB) and Glenn procedure. At the age of six years, cardiac catheterisation revealed in the patient elevated MPAP (22 mm Hg). The PAB was closed through the right internal jugular vein with an Amplatzer Atrial Septal Occluder. After the procedure, MPAP remained at a similar level. Sildenafil oral therapy was applied for six months. Subsequent heart catheterisation confirmed complete closure of PAB and decrease of MPAP to 10 mm Hg. The abovementioned complex treatment of elevated MPAP pressure in a child after Glenn therapy allowed safe completion of the Fontan operation.
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Keywords

single ventricle heart; pulmonary artery banding; transcatheter closure; sildenafil

About this article
Title

Treatment of elevated pulmonary artery pressure in a child after Glenn procedure: transcatheter closure of pulmonary artery banding with subsequent sildenafil therapy

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 70, No 2 (2012)

Pages

201-203

Published online

2012-02-17

Bibliographic record

Kardiol Pol 2012;70(2):201-203.

Keywords

single ventricle heart
pulmonary artery banding
transcatheter closure
sildenafil

Authors

Jose Pascual Salas Llamas
Małgorzata Szkutnik
Roland Fiszer
Jacek Białkowski

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