Vojislav Parezanovic, Dusan Andric, Vladimir Chadikovski, Vedran Stojanovikj, Jordanka Madzoska, Vesna Trpkovska, Igor Stefanovic
University Children’s Hospital and University of Belgrade. Acibadem Sistina Hospital.
Serbia
Journal of Cardiovascular Development and Disease
J Cardiovasc Dev Dis 2026; 13:
DOI: 10.3390/jcdd13050210
Abstract
The association of a major aortopulmonary collateral artery (MAPCA) with simple transposition of the great arteries (TGA) is uncommon. Such high-flow lesions in the postoperative period following arterial switch operation (ASO) may lead to pulmonary hypertension, pulmonary hemorrhage, heart failure (HF), failure to thrive and prolonged mechanical ventilation. We report a neonate who developed pulmonary overcirculation and HF in the early postoperative period due to a hemodynamically significant MAPCA. Although the association of MAPCA with simple TGA is infrequent, such lesions should be considered in cases of unexplained cardiovascular compromise following ASO. Following transcatheter occlusion of the MAPCA with a vascular coil, rapid hemodynamic stabilization and subsequent extubation of the patient were achieved.
Category
Abnormal Systemic to Pulmonary Arterial Collaterals or Connections Associated with Pulmonary Vascular Disease
Surgical and Catheter-mediated Interventions for Pulmonary Vascular Disease
Age Focus: Pediatric Pulmonary Vascular Disease
Fresh or Filed Publication: Fresh (PHresh). Less than 1-2 years since publication
Article Access
Free PDF File or Full Text Article Available Through PubMed or DOI: Yes