Impact of preoperative left pulmonary artery stenting on the Fontan procedure: a retrospective multicentre study.
Giuseppe ComentaleMarta CucchiAndrea SerraoLucio CaredduCarlo Pace NapoleoneGaetano GargiuloGuido OppidoPublished in: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery (2024)
The LPA-stented group showed similar outcomes in terms of survival and complications rate compared to patients without LPA stenosis; however, they significantly differ in their higher preoperative risk profile and in their more complex anatomy. Complex neonatal palliations involving ascending aorta or aortic arch may increase the risk of pulmonary branches stenosis requiring stenting; therefore, preoperative stenting of LPA stenoses could help to reduce the surgical risk of complex Fontan procedure by avoiding the need for cross-clamp or complex mediastinal dissections to perform a high-risk surgical repair.
Keyphrases
- pulmonary artery
- pulmonary hypertension
- coronary artery
- patients undergoing
- pulmonary arterial hypertension
- antiplatelet therapy
- end stage renal disease
- ejection fraction
- minimally invasive
- type diabetes
- newly diagnosed
- acute coronary syndrome
- chronic kidney disease
- aortic valve
- peritoneal dialysis
- percutaneous coronary intervention
- atrial fibrillation
- metabolic syndrome