Muthialu N, Robertson A, Mortensen K, Khambadkone S. Case report on surgical repair of unusual dissection of arterial duct involving main pulmonary artery in a child with vein of Galen malformation.
EUROPEAN HEART JOURNAL-CASE REPORTS 2019;
2:yty140. [PMID:
31020216 PMCID:
PMC6426031 DOI:
10.1093/ehjcr/yty140]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/20/2018] [Accepted: 10/26/2018] [Indexed: 11/14/2022]
Abstract
Background
Dissection involving patent arterial duct (PDA) extending to main pulmonary artery (MPA) is an extremely rare condition.
Case summary
We report a case of complex dissection involving PDA extending to MPA, in a child with vein of Galen malformation. This was surgically corrected under deep hypothermic circulatory arrest, and we describe the pathophysiology and surgical rationale in this report.
Discussion
Management of intracardiac lesion in the presence of intracranial arterio-venous malformations such as vein of Galen is very difficult, and employing deep hypothermic circulatory arrest allows one to manage cerebral protection while offering the visualization of intracardiac anatomy more effectively.
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