Pulmonary Artery Growth After Palliation of Congenital Heart Disease With Duct-Dependent Pulmonary CirculationArterial Duct Stenting Versus Surgical Shunt
Giuseppe Santoro, MD*,*,
Giovanbattista Capozzi, MD*,
Giuseppe Caianiello, MD ,
Maria Teresa Palladino, MD*,
Chiara Marrone, MD ,
Gabriella Farina, MD,
Maria Giovanna Russo, MD* and
Raffaele Calabrò, MD*
* Cardiology, A.O. Monaldi, Second University of Naples, Naples, Italy
Pediatric Cardiac Surgery, A.O. Monaldi, Second University of Naples, Naples, Italy
Clinical Medicine, Cardiovascular and Immunologic Sciences, Federico II University of Naples, Naples, Italy
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Figure 1 Mid-Term Consequences of a Modified Blalock-Taussig Shunt
Discrepant left-to-right pulmonary artery growth in a patient with tricuspid and pulmonary atresia submitted to right modified Blalock-Taussig shunt (*), as imaged 8 months after the surgical palliation. LPA = left pulmonary artery; RPA = right pulmonary artery.
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Figure 2 Pulmonary Artery Growth After Arterial Duct Stenting
Pulmonary artery angiography before (A) and after (B) the arterial duct stenting in a patient with tetralogy of Fallot. Ao = aorta; other abbreviations as in Figure 1.
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Figure 3 Global Growth of the Pulmonary Artery Tree After AD Stenting or MBTS
Nakata Index (A) and the McGoon Ratio (B) changes after percutaneous or surgical palliation. AD = arterial duct; MBTS = modified Blalock-Taussig shunt.
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Figure 4 Development of the Individual PAs After AD Stenting or MBTS
Mid-term changes of the pulmonary artery (PA) z-scores after percutaneous (A) or surgical (B) palliation. RPA = right pulmonary artery; other abbreviations as in Figure 3.
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