Abstract

AREVALO-SALAS, Luis Alexis et al. Occlusion of aortopulmonary collateral arteries with Amplatzer^® Vascular Plug II device in a patient with pulmonary atresia and ventricular septal defect: Case report. Bol. Med. Hosp. Infant. Mex. [online]. 2013, vol.70, n.4, pp.310-313. ISSN 1665-1146.

Background. Pulmonary atresia with ventricular septal defect (VSD) is a complex heart disease with an incidence of ~2% of all congenital heart diseases. It is frequently associated with 22q11 deletion syndrome. Due to the extensive anatomic variability, it is necessary to accurately establish an individualized surgical/medical plan. Case report. We report the case of a 2-year-old patient with pulmonary atresia and two associated mayor aortopulmonary collateral arteries. This patient underwent right ventricular-pulmonary artery connection at which time it was possible to ligate one of the collaterals. The remaining were embolized by transcatheter device with total occlusion. Conclusions. Management of collateral arteries associated with pulmonary atresia with VSD is complex but is accessible with transcatheter treatment with device implantation with minimal morbidity.

Keywords : transcatheter embolization of collaterals; pulmonary atresia; aortopulmonary collaterals.

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