Postoperative catheter thrombaspiration to open an occluded right ventricle-to-pulmonary artery conduit in child.
Raymond N HaddadRegis GaudinDamien BonnetSophie-Guiti Malekzadeh-MilaniPublished in: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery (2024)
We report on a 6-year-old girl (18 kg/120 cm) who was diagnosed on day 6 postoperative with an occlusive thrombosis of a right ventricle-to-pulmonary artery conduit in the setting of a Ross procedure that was performed for severe native aortic valve insufficiency secondary to late diagnosis of bacterial endocarditis. We applied the Indigo® aspiration system from Penumbra® (Alameda, USA) to mechanically dissolve and remove the thrombus, restore flow, gradually wean from extracorporeal support, and replace the conduit after 4 days. The patient experiences good surgical outcomes at 3 months of follow-up.
Keyphrases
- pulmonary artery
- aortic valve
- pulmonary hypertension
- coronary artery
- pulmonary arterial hypertension
- transcatheter aortic valve replacement
- patients undergoing
- transcatheter aortic valve implantation
- minimally invasive
- mental health
- aortic valve replacement
- aortic stenosis
- ultrasound guided
- pulmonary embolism
- coronary artery disease
- drug induced
- sickle cell disease
- congenital heart disease