Unusual complication of a homograft in pulmonary position

Authors

  • Natalio Alberto Gastaldello Cardiology Service. El Cruce High Complexity Hospital. Argentina
  • Ricardo Gamboa Pediatric Cardiology Service. El Cruce High Complexity Hospital. Argentina
  • Pablo Pollono Cardiology Service. El Cruce High Complexity Hospital. Argentina
  • Graciela Rosana Reyes Cardiology Service. El Cruce High Complexity Hospital. Argentina

DOI:

https://doi.org/10.37615/retic.n1a13

Keywords:

Pulmonary atresia, Homograft, Pseudoaneurism.

Abstract

The implantation of a homograft in pulmonary position is commonly used to resolve the obstruction of the outfl ow tract of the right ventricle in various forms of complex congenital heart diseases. Unfortunately often they have dysfunction mainly due to stenosis, leading to indicate its replacement with a consequent increase in morbidity and mortality of repeated surgeries. Angioplasty with stent homograft appears as a therapeutic option to prolong the useful life and to postpone surgery. We report the case of a young woman who required multiple interventions for correction of pulmonary atresia with ventricular septal defect.

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References

Centella Hernández T, Stanescub D, Stanescuc S. Atresia pulmonar con comunicación interventricular Cir Cardiov 2014; 21 (2): 132-137. DOI: https://doi.org/10.1016/j.circv.2014.02.003

Boethig D, Goerler H, Westhoff -Bleck M, Ono M, Daiber A, Haverich A, Breymann T. Evaluation of 188 consecutive homografts implanted in pulmonary position after 20 years. Eur J Cardiothorac Surg 2007; 32 (1): 133-142. DOI: https://doi.org/10.1016/j.ejcts.2007.02.025

Rosental C, Micheli D, Mor A, Schwin O, Vogelfang H, Capelli H. Homoinjertos en posicion pulmonar: complicaciones posteriores al año del implante. Capelli Rev Argent Cardiol 2002; 70: 457-462.

Aggarwal S, Garekar S, Forbes TJ, Turner DR. Is stent placement eff ective for palliation of right ventricle to pulmonary artery conduit stenosis? J Am Coll Cardiol 2007; 49 (4): 480-484. DOI: https://doi.org/10.1016/j.jacc.2006.09.037

Almagor Y, Prevosti LG, Bartorelli AL, Keren G, Ferrans VJ, Jones M, Leon MB. Balloon expandable stent implantation in stenotic right heart valved conduits. J Am Coll Cardiol 1990; 16: 1.310-1.314. DOI: https://doi.org/10.1016/0735-1097(90)90570-F

Hainstock MR, Marshall AC, Lock JE, McElhinney DB. Angioplasty of Obstructed Homograft Conduits in the Right Ventricular Outflow Tract With Ultra-Non-compliant Balloons. Circ Cardiovasc Interv 2013; 6: 671-679. DOI: https://doi.org/10.1161/CIRCINTERVENTIONS.112.000073

Bochard-Villanueva B, Estornell-Erill J, de la Espriella R, Hornero-Sos F, Ridocci- Soriano F. Giant pulmonary mass complicating pulmonary homograft replacement. Eur Heart J Cardiovasc Imaging 2014; 15 (3): 248. DOI: https://doi.org/10.1093/ehjci/jet178

Published

2016-04-30

How to Cite

1.
Gastaldello NA, Gamboa R, Pollono P, Reyes GR. Unusual complication of a homograft in pulmonary position. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2016 Apr. 30 [cited 2024 Nov. 24];(1):53-6. Available from: https://imagenretic.org/RevEcocarPract/article/view/488