Direct Percutaneous Transthoracic Cardiac Access for Recanalization of Longstanding Branch Pulmonary Artery Atresia.
JACC Case Rep
; 3(2): 180-186, 2021 Feb.
Article
em En
| MEDLINE
| ID: mdl-34317499
ABSTRACT
We describe the use of direct percutaneous cardiac access to recanalize an atretic right pulmonary artery in an adolescent with complex congenital heart disease and right heart failure. This case highlights the problems associated with loss of central venous access and potential advantages of a direct cardiac approach to catheterization. (Level of Difficulty Intermediate.).
CHD, congenital heart disease; CMR, cardiac magnetic resonance; CTA, computed tomographic angiography; CTO, chronic total occlusion; CV, central venous; DCA, direct cardiac access; IJ, internal jugular; LIMA, left internal mammary artery; PA, pulmonary artery; PA-VSD, pulmonary atresia with ventricular septal defect; PAH, pulmonary arterial hypertension; RHF, right heart failure; RPA, right pulmonary artery; RV, right ventricle; RV-PA, right ventricle to pulmonary artery; RVOT, right ventricular outflow tract; congenital heart disease; pulmonary artery; recanalization
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MEDLINE
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En
Ano de publicação:
2021
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Article