Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지
DOI QR코드

DOI QR Code

Emergency Pulmonary Artery-to-Systemic Artery Shunt to Break the Positive Feedback Loop of a Pulmonary Hypertensive Crisis after Neonatal Coarctation Repair

  • Shin, Yu Rim (Division of Cardiovascular Surgery, Department of Thoracic and Cardiovascular Surgery, Severance Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Yang, Young Ho (Division of Cardiovascular Surgery, Department of Thoracic and Cardiovascular Surgery, Severance Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Park, Young-Hwan (Division of Cardiovascular Surgery, Department of Thoracic and Cardiovascular Surgery, Severance Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Park, Han Ki (Division of Cardiovascular Surgery, Department of Thoracic and Cardiovascular Surgery, Severance Cardiovascular Hospital, Yonsei University College of Medicine)
  • Received : 2018.12.26
  • Accepted : 2019.02.25
  • Published : 2019.08.05
Download PDF
⟨ Previous Next ⟩

Abstract

A 2.5-kg neonate with coarctation of the aorta and a small left ventricle experienced a severe pulmonary hypertensive crisis. An emergency pulmonary artery-to-systemic artery shunt was placed to break the positive feedback loop caused by pulmonary hypertension and functional mitral stenosis. This shunt provided immediate relief of suprasystemic pulmonary hypertension and the resultant low cardiac output.

Keywords

References

  1. Hickey EJ, Caldarone CA, McCrindle BW. Left ventricular hypoplasia: a spectrum of disease involving the left ventricular outflow tract, aortic valve, and aorta. J Am Coll Cardiol 2012;59(1 Suppl):S43-54. https://doi.org/10.1016/j.jacc.2011.04.046
  2. Tani LY, Minich LL, Hawkins JA, et al. Spectrum and influence of hypoplasia of the left heart in neonatal aortic coarctation. Cardiol Young 2000;10:90-7. https://doi.org/10.1017/S1047951100006533
  3. Brown SC, Eyskens B, Boshoff D, et al. Bailout shunt/banding for backward left heart failure after adequate neonatal coarctectomy in borderline left hearts. Interact Cardiovasc Thorac Surg 2016;23:929-32. https://doi.org/10.1093/icvts/ivw254
  4. Phoon CK, Silverman NH. Conditions with right ventricular pressure and volume overload, and a small left ventricle: "hypoplastic" left ventricle or simply a squashed ventricle? J Am Coll Cardiol 1997;30:1547-53. https://doi.org/10.1016/S0735-1097(97)00351-3