Iatrogenic aortopulmonary communications after transcatheter interventions on the right ventricular outflow tract or pulmonary artery: Pathophysiologic, diagnostic, and management considerations

2015 ◽  
Vol 86 (3) ◽  
pp. 438-452 ◽  
Author(s):  
Alejandro Torres ◽  
Stephen P. Sanders ◽  
Julie A. Vincent ◽  
Howaida G. El-Said ◽  
Ryan A. Leahy ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Right Ventricular ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Outflow Tract ◽  
The Right ◽  
Transcatheter Interventions

scholarly journals A rare case of myxoma in the right ventricular outflow tract extending to the pulmonary artery

2010 ◽  
Vol 13 (2) ◽  
pp. 167 ◽  
Author(s):  
DeepakK Tempe ◽  
Devesh Dutta ◽  
Harpreet Minhas ◽  
Mukesh Garg ◽  
Sanjula Virmani
Keyword(s):  
Pulmonary Artery ◽  
Right Ventricular ◽  
Rare Case ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Outflow Tract ◽  
The Right

Stenting of the right ventricular outflow tract in symptomatic neonatal tetralogy of Fallot

2013 ◽  
Vol 24 (2) ◽  
pp. 369-373 ◽  
Author(s):  
Nikolaus A. Haas ◽  
Thorsten K. Laser ◽  
Axel Moysich ◽  
Ute Blanz ◽  
Eugen Sandica
Keyword(s):  
Pulmonary Artery ◽  
Right Ventricular ◽  
Tetralogy Of Fallot ◽  
Pulmonary Regurgitation ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Outflow Tract ◽  
Ventricular Performance ◽  
Right Ventricular Performance ◽  
The Right

AbstractThere is ongoing debate regarding the initial management of symptomatic neonates with tetralogy of Fallot. Although neonatal repair can be performed with low mortality, it is associated with increased morbidity and long-term impact on right ventricular performance. Traditionally, the modified Blalock–Taussig shunt remains the palliative procedure of choice. Differential pulmonary artery flow may occur and subsequently result in underdevelopment and distortion of pulmonary vessels. Transcatheter therapy was previously limited to balloon valvulotomy when the obstruction is predominantly at the pulmonary valve level. Stenting of the right ventricular outflow tract can enable adequate forward flow; however, pulmonary regurgitation may impact on right ventricular performance and cardiac output. Stenting of the right ventricular outflow tract with valve sparing placement of the stent thus treating the underlying pathophysiology of the hypercyanotic spells provides a safe and effective management strategy, improving arterial oxygen saturation, avoiding pulmonary regurgitation and encouraging pulmonary artery growth.

Sign in / Sign up

Export Citation Format

Share Document