Systemic artery-to-pulmonary artery shunt after using an omental pedicle flap

Transudate pleural effusion associated with tricuspid dysplasia and ostium secundum-type atrial septal defect was diagnosed in a 14-month-old bullmastiff. Following administration of furosemide and an angiotensin-converting enzyme (ACE) inhibitor, the dog remained free of pleural effusion for 10 months, until he showed severe dyspnea due to chylothorax. Medical therapy was unsuccessful to avoid recurrence of life-threatening pleural chylous effusion. Ligation of the thoracic duct and apposition of an omental pedicle flap were effective in the resolution of pleural chylous leakage.

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THE USE OF AN OMENTAL PEDICLE FLAP IN THE CLOSURE OF BRONCHOPLEURAL FISTULAE

ANZ Journal of Surgery ◽

10.1111/j.1445-2197.1980.tb06670.x ◽

1980 ◽

Vol 50 (2) ◽

pp. 204-206 ◽

Cited By ~ 8

Author(s):

W. J. Perianayagam ◽

M. V. Booshanam ◽

S. Muralidharan ◽

P. S. Jairaj ◽

S. John

Keyword(s):

Pedicle Flap ◽

Omental Pedicle Flap

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Secondary systemic artery to pulmonary artery and pulmonary vein fistulas following the video-assisted thoracic surgery for pneumothorax: a case report

Surgical Case Reports ◽

10.1186/s40792-017-0407-y ◽

2018 ◽

Vol 4 (1) ◽

Cited By ~ 8

Author(s):

Takuo Shimmyo ◽

Takahiro Omori ◽

Akira Hirano ◽

Munetaka Masuda

Keyword(s):

Case Report ◽

Pulmonary Artery ◽

Thoracic Surgery ◽

Pulmonary Vein ◽

Video Assisted Thoracic Surgery ◽

Video Assisted ◽

Systemic Artery

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Successful depiction of systemic collateral supply to pulmonary artery in CTEPH using time-resolved 4D CT angiography: a case report

Pulmonary Circulation ◽

10.1177/2045894019881065 ◽

2020 ◽

Vol 10 (2) ◽

pp. 204589401988106

Author(s):

Masashi Tamura ◽

Takashi Kawakami ◽

Yoshitake Yamada ◽

Masaharu Kataoka ◽

Seishi Nakatsuka ◽

...

Keyword(s):

Pulmonary Artery ◽

Chronic Total Occlusion ◽

Bronchial Artery ◽

Total Occlusion ◽

Time Resolved ◽

Systemic Artery ◽

Balloon Pulmonary Angioplasty ◽

Test Bolus ◽

Ct System ◽

Collateral Vessels

A 49-year-old man with CTEPH (pre-procedural mean pulmonary artery pressure: 36 mmHg) underwent balloon pulmonary angioplasty. Chronic total occlusion of the left inferior pulmonary artery trunk was observed. To evaluate the collateral vessels of the chronic total occlusion, 4D-CTA was performed. The examination was performed using a 256-row detector CT system using the test bolus tracking method. 4D-CTA showed the bronchial artery-to-left inferior pulmonary artery collateral supply, which was confirmed by a selective bronchial artery angiography. The patient’s symptoms improved with balloon pulmonary angioplasty of the other stenotic lesions. 4D-CTA can noninvasively evaluate the anatomy and hemodynamics of multiple systemic collaterals simultaneously. This technique can support interventions in systemic artery-to-pulmonary artery collaterals, such as embolization, and could be helpful in challenging balloon pulmonary angioplasty interventions for chronic total occlusion to identify vessel structures distal to the chronic total occlusion and collateral channels for a retrograde approach.

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