WJCD  Vol.3 No.6 A , September 2013
Surgical-interventional hybrid orchestra consisting of Potts shunt, transcatheter tricuspid valve repair by Edwards-valve in a 26-year-old patient with pulmonary hypertension and right ventricular failure
ABSTRACT
Reported here is a 26-year-old patient with corrected congenital interrupted aortic arch admitted with massive hemoptysis and severe suprasystemic pul-monary hypertension provided him for heart-lung transplantation. Initial closure of a small aorto-pulmonary collateral remained ineffective. Persistent life-threatening hemoptysis led to the decision for a modified Potts shunt with the aim of decompressing the right ventricle and avoiding pulmonary-hypertensive crisis. The hemoptysis did not recur. However, the patient’s oxygen transport condition deteriorated and necessitated an orchestra of interventional-surgical approaches from re-coarctation stenting, Potts shunt flow reducing to surgical and transcatheter tricuspid valve repair with transient ECMO before the patient could be discharged home.

Cite this paper
Recla, S. , Steinbrenner, B. , Schreier, J. , Fichtlscherer, S. , Schmidt, D. , Apitz, C. , Müller, M. , Bauer, J. , Akintuerk, H. and Schranz, D. (2013) Surgical-interventional hybrid orchestra consisting of Potts shunt, transcatheter tricuspid valve repair by Edwards-valve in a 26-year-old patient with pulmonary hypertension and right ventricular failure. World Journal of Cardiovascular Diseases, 3, 1-4. doi: 10.4236/wjcd.2013.36A001.
References
[1]   Benza, R.L., Miller, D.P., Barst, R.J., et al. (2012) An evaluation of long-term survival from time of diagnosis in pulmonary arterial hypertension. Chest, 142, 448-456. http://dx.doi.org/10.1378/chest.11-1460

[2]   Raymond, R.J., Hinderliter, A.L., Willis, P.W., et al. (2002) Echocardiographic predictors of adverse outcomes in primary pulmonary hypertension. Journal of the American College of Cardiology, 39, 1214-1219. http://dx.doi.org/10.1016/S0735-1097(02)01744-8

[3]   Zylkowska, J., Kurzyna, M., Pietura, R., et al. (2011) Recurrent hemoptysis: An emerging life-threatening complication in idiophathic pulmonary arterial hypertension. Chest, 139, 690-693. http://dx.doi.org/10.1378/chest.10-1134

[4]   Gan, C.T., Lankhaar, J.W., Marcus, J.T., et al. (2006) Impaired left ventricular filling due to right-to-left ventricular interaction in patients with pulmonary arterial hypertension. American Journal of Physiology—Heart and Circulatory Physiology, 290, H1528-H1533.

[5]   Blanc, J., Vouhe, P. and Bonnet, D. (2004) Potts shunt in patients with pulmonary hypertension. The New England Journal of Medicine, 350, 623. http://dx.doi.org/10.1056/NEJM200402053500623

[6]   Baruteau, A.E., Serraf, A., Lévy, M., et al. (2012) Potts shunt in children with idiopathic pulmonary arterial hypertension: Long-term results. The Annals of Thoracic Surgery, 94, 817-824. http://dx.doi.org/10.1016/j.athoracsur.2012.03.099

[7]   Beghetti, M. and Tissot, C. (2010) Pulmonary hypertension in congenital shunts. Revista Espanola de Cardiología, 63, 1179-1193. http://dx.doi.org/10.1016/S0300-8932(10)70250-5

[8]   Cantu, J., Wang, D. and Safdar, Z. (2012) Clinical implications of haemoptysis in patients with pulmonary arterial hypertension. International Journal of Clinical Practice, 177, 5-12. http://dx.doi.org/10.1111/ijcp.12004

[9]   Goldstein, B.S., Sweet, S.C., Mao, J., Huddleston, C.B. and Grady, R.M. (2011) Lung transplantation in children with idiopathic pulmonary arterial hypertension: An 18-year experience. The Journal of Heart and Lung Transplantation, 30, 1148-1152. http://dx.doi.org/10.1016/j.healun.2011.04.009

[10]   Micheletti, A., Hislop, A.A., Lammers, A., et al. (2006) Role of atrial septostomy in the treatment of children with pulmonary arterial hypertension. Heart, 92, 969-972. http://dx.doi.org/10.1136/hrt.2005.077669

[11]   Latus, H., Apitz, C., Schmidt, D., Jux, C., Müller, M., Bauer, J., Akintuerk, H., Schneider, M. and Schranz, D. (2013) Potts shunt and atrioseptostomy in pulmonary hypertension due to left ventricular disease. The Annals of Thoracic Surgery, 96, 317-319. http://dx.doi.org/10.1016/j.athoracsur.2012.10.069

 
 
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