TITLE:
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
AUTHORS:
Sabine Recla, Blanka Steinbrenner, Jennifer Schreier, Stephan Fichtlscherer, Dorle Schmidt, Christian Apitz, Matthias Müller, Juergen Bauer, Hakan Akintuerk, Dietmar Schranz
KEYWORDS:
Pulmonary Hypertension; Potts Shunt; Edwards Tricuspid Valve; Hybrid-Procedure
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.3 No.6A,
September
25,
2013
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.