Article: Managing a Rare Major Aortopulmonary Collaterals with Single Ventricle Physiology through Coiling and Cavopulmonary Shunt in a Single Hybrid Setting: A Case Report
Abstract
We report a case of a 15-year-old female with single ventricle physiology, double outlet right ventricle, situs inversus, and major aortopulmonary collateral arteries (MAPCAs), treated in a single hybrid setting with endovascular coiling of nonessential MAPCAs and Bidirectional Glenn (BDG) procedure. Current guidelines recommend optimizing the pulmonary vascular bed through unifocalization of essential MAPCAs and embolization of nonessential MAPCAs to achieve Cavo pulmonary anastomosis, often via single- or multi-staged approaches. This case demonstrates the feasibility of a hybrid approach for complex CHDs.
Keywords: Double Outlet Right Ventricle, Single Ventricle Physiology, Major Aortopulmonary Collateral Arteries, Bidirectional Glenn procedure, Case Report
Samir Kumar Yadav
Department of Cardiovascular & Thoracic Surgery, Maharajgunj Medical Campus, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Kathmandu, Nepal
Anil Bhattarai
Department of Cardiovascular & Thoracic Surgery, Maharajgunj Medical Campus, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Kathmandu, Nepal
Ravi Baral
Department of Cardiovascular & Thoracic Surgery, Maharajgunj Medical Campus, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Kathmandu, Nepal
Prabhat Khakural
Department of Cardiovascular & Thoracic Surgery, Maharajgunj Medical Campus, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Kathmandu, Nepal
Keywords
Double Outlet Right Ventricle, Single Ventricle Physiology, Major Aortopulmonary Collateral Arteries, Bidirectional Glenn procedure, Case Report
Identifier
https://doi.org/10.59779/jiomnepal.1364
Citation
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