Transcatheter closure of antegrade pulmonary blood flow in a case with persistent pulmonary effusion following cavopulmonary anastomosis

Ahmet Çelebi,

doi:10.5606/tgkdc.dergisi.2013.5326

Ahmet Çelebi¹, Halil Demir¹, Numan Ali Aydemir², İlker Yücel¹, Abdullah Erdem¹

¹Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Pediyatrik Kardiyoloji Kliniği, İstanbul, Türkiye
²Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, İstanbul, Türkiye

DOI : 10.5606/tgkdc.dergisi.2013.5326

Preserving antegrade pulmonary blood flow in patients who are candidates for univentricular repair and receive palliation by the Glenn anastomosis is still controversial. In this article, a three-year-old girl underwent cavopulmonary anastomosis with preserved antegrade pulmonary blood flow. Cardiac catheterization performed for repetitive pleural effusions and superior vena cava syndrome revealed that the mean pulmonary artery pressure was quite elevated (27 mmHg) for Glenn anastomosis. The mean pulmonary arterial pressure was decreased to an acceptable level (17 mmHg) for Glenn anastomosis, by transcatheter occlusion of antegrade pulmonary blood flow using a Cardio-Fix Duct occluder.

Keywords : Cavopulmonary anastomosis; duct occluder; transcatheter intervention

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