Palliative reconstruction of right ventricular outflow tract by using femoral vein allograft in a newborn with hypoplastic pulmonary artery and ventricular septal defect: case report
Published 2018-08-07
Keywords
- case report,
- cryopreserved femoral vein allograft,
- Nakata index,
- pulmonary atresia,
- pulmonary bed rehabilitation
How to Cite
Copyright (c) 2018 Voytov A.V., Omelchenko A.Yu., Soynov I.A., Nichay N.R., Gorbatyh A.V., Kulyabin Yu.Yu., Arkhipov A.N., Bogachev-Prokophiev A.V., Karaskov A.M.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
Treating patients with pulmonary atresia and ventricular septal defect, who have hypoplastic native pulmonary arteries, is a challenge for cardiac surgeons. We have reported a case of successful pulmonary bed rehabilitation using a femoral vein allograft in a patient with pulmonary atresia and ventricular septal defect. No similar cases with a detailed description of surgery stages and pulmonary artery development supported by illustrative materials are described both in the literature. The strategy of rehabilitation of the native pulmonary artery bed facilitates antegrade pulmonary blood flow, increases native pulmonary arteries growth, contributes to successful implementation of staged endovascular interventions and allows for complete repair. The technique of “short” cardiopulmonary bypass with induced ventricular fibrillation is a safe and effective option for such patients. This clinical case might be useful in medical practice of pediatric cardiac surgeons involved in the problem of pulmonary artery rehabilitation.
Received 4 June 2018. Revised 4 July 2018. Accepted 5 July 2018.
Informed consent: The legal representative (infant’s mother) has voluntarily given her written informed consent to use the infant’s medical data obtained in the course of treatment for scientific purposes and for their publication.
Funding: The study had no sponsorship.
Conflict of interest: Authors declare no conflict of interest.
References
- Джонас Р.А. Хирургическое лечение врожденных пороков сердца. Пер. с англ. под редакцией М.В. Борискова. М.: ГОЭТАР-Медиа, 2017. C. 420-440. [Jonas R.A. Comprehensive surgical management of congenital heart disease. Мoscow: GEOTAR Media Publ.; 2017. pp. 420-440. (In Russ.)]
- Омельченко А.Ю., Сойнов И.А., Горбатых Ю.Н., Кулябин Ю.Ю., Горбатых А.В., Ничай Н.Р., Войтов А.В., Богачев-Прокофьев А.В. Дисфункция правого желудочка у пациентов после коррекции тетрады фалло: все ли вопросы решены? Хирургия. Журнал им. Н.И. Пирогова. 2017;(6):84-90. https://doi.org/10.17116/hirurgia2017684-90 [Omelchenko A.Yu., Soynov I.A., Gorbatykh Yu.N., Kulyabin Yu.Yu., Gorbatykh A.V., Nichay N.R., Voitov A.V., Bogochev-Prokophiev A.V. Right ventricular dysfunction after tetralogy of Fallot repair: are all questions resolved? Khirurgiya. Zhurnal imeni N.I. Pirogova = Journal Surgery named after N.I. Pirogov. 2017;(6):84-90. (In Russ.) https://doi.org/10.17116/hirurgia2017684-90]
- Сойнов И.А., Журавлева И.Ю., Кулябин Ю.Ю., Ничай Н.Р., Афанасьев А.В., Алешкевич Н.П., Богачев-Прокофьев А.В., Караськов А.М. Клапансодержащие кондуиты в детской кардиохирургии. Хирургия. Журнал им. Н.И. Пирогова. 2018;(1):75-81. https://doi.org/10.17116/hirurgia2018175-81 [Soynov I.A., Zhuravleva I.Yu., Kulyabin Yu.Yu., Nichay N.R., Afanasyev A.V., Aleshkevich N.P., Bogachev-Prokofiev A.V., Karaskov A.M. Valved conduits in pediatric cardiac surgery. Khirurgiya. Zhurnal imeni N.I. Pirogova = Journal Surgery named after N.I. Pirogov. 2018;(1):75-81. (In Russ.) https://doi.org/10.17116/hirurgia2018175-81]
- Sinha P., Talwar S., Moulick A., Jonas R. Right ventricular outflow tract reconstruction using a valved femoral vein homograft. J Thorac Cardiovasc Surg. 2010;139(1):226-228. https://doi.org/10.1016/j.jtcvs.2008.10.018
- Зубрицкий А.В., Наберухин Ю.Л., Архипов А.Н., Горбатых Ю.Н., Ничай Н.Р., Кулябин Ю.Ю., Павлушин П.М., Богачев-Прокофьев А.В. Дисфункция синусового узла после коррекции частичного аномального дренажа правых легочных вен: проспективное рандомизированное исследование. Анналы аритмологии. 2017;14(4):180-189. http://dx.doi.org/10.15275/annaritmol.2017.4.1 [Zubritskiy A.V., Naberukhin Y.L., Arkhipov A.N., Gorbatykh Y.N., Nichay N.R., Kulyabin Y.Y., Pavlushin P.M., Bogachev-Prokophiev A.V. Sinus node dysfunction in patients with supracardiac partial anomalous pulmonary venous connection: a prospective randomized study. Annaly aritmologii. 2017;14(4):180-189. (In Russ.) http://dx.doi.org/10.15275/annaritmol.2017.4.1]
- Горбатых Ю.Н., Синельников Ю.С., Курыгина С.В., Лейкехман А.В., Прозоров И.В., Жалнина Е.В. Случай реконструкции пути оттока из правого желудочка без пластики дефекта межжелудочковой перегородки у новорожденного пациента с атрезией легочной артерии и дефектом межжелудочковой перегородки. Патология кровообращения и кардиохирургия. 2006;10(2):89-92. [Gorbatykh Yu.N., Sinelnikov Yu.S., Kurygina S.V., Lejkekhman A.V., Prozorov I.V., Zhalnina E.V. A case of reconstruction of right ventricular outflow tract without ventricular septal defect plasty in a newborn with hypoplastic pulmonary artery and ventricular septal defect. Patologiya krovoobrashcheniya i kardiokhirurgiya = Circulation Pathology and Cardiac Surgery. 2006;10(2):89-92. (In Russ.)]
- d’Udekem Y., Alphonso N., Nørgaard M.A., Cochrane A.D., Grigg L.E., Wilkinson J.L., Brizard C.P. Pulmonary atresia with ventricular septal defects and major aortopulmonary collateral arteries: Unifocalization brings no longterm benefits. J Thorac Cardiovasc Surg. 2005;130(6):1496-502. PMID: 16307989. http://dx.doi.org/10.1016/j.jtcvs.2005.07.034
- Schiller O., Sinha P., Zurakowski D., Jonas R.A. Reconstruction of right ventricular outflow tract in neonates and infants using valved cryopreserved femoral vein homografts. J Thorac Cardiovasc Surg. 2014;147(3):874-9. PMID: 24342904. http://dx.doi.org/10.1016/j.jtcvs.2013.11.006