Managing Bilateral Discontinuous Pulmonary Arteries of Ductal Origin in Single-Ventricle Anatomy.
Alyssa B KalustianRaymond A LopezTam T DoanRichard C TangRocky TsangHeather DickersonChristopher A CaldaroneAthar M QureshiSilvana MolossiE Dean McKenzieIki AdachiZiyad M BinsalamahPublished in: The Annals of thoracic surgery (2024)
Successful single-ventricle palliation is possible, although high risk, for patients with bilateral discontinuous ductal PAs. Early postcentralization mortality remains substantial, particularly with associated noncardiac TAPVC. Many require reintervention to maintain PA growth, typically concurrently with staged palliation.