Kanishka Ratnayaka, Zhenglun A. Wei, Justin R. Ryan, Caitlin M. Heyden, Hari K. Narayan, Timothy C. Slesnick, Robert J. Lederman, John W. Moore, Ajit P. Yoganathan, Howaida G. El-Said
Rady Children’s Hospital and University of California-San Diego. National Heart, Lung, and Blood Institute. University of Massachusetts Lowell. Children’s Healthcare of Atlanta, Georgia Institute of Technology and Emory University.
United States
Journal of the American College of Cardiology Case Reports
JACC Case Rep 2023; 10:
DOI: 10.1016/j.jaccas.2023.101760
Abstract
The authors report a closed-chest, transcatheter large-vessel connection (hepatic conduit to azygous vein) to reverse pulmonary arteriovenous malformations in a 10-year-old patient after Fontan for heterotaxy/interrupted inferior vena cava, with an increase in oxygen saturation from 78% to 96%. Computational fluid dynamics estimated a 14-fold increase in hepatic blood flow to the left pulmonary artery (from 1.3% to 14%).
Category
Pulmonary Arteriovenous Malformations
Mechanical and Computer Models of Pulmonary Vascular Disease and Therapy
Surgical and Catheter-mediated Interventions for Pulmonary Vascular Disease
Age Focus: Pediatric Pulmonary Vascular Disease
Fresh or Filed Publication: Filed (PHiled). Greater than 1-2 years since publication
Article Access
Free PDF File or Full Text Article Available Through PubMed or DOI: Yes