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Ann Thorac Surg 1998;65:1464-1465
© 1998 The Society of Thoracic Surgeons

Case Reports

Division of the Main Pulmonary Artery: Suboptimal Palliation for the Patient With a Univentricular Heart

Jeffrey A. Wong, MDa, Robert H. Beekman, III, MDa

a Division of Cardiology, Children’s Hospital Medical Center, Cincinnati, Ohio, USA

Accepted for publication December 10, 1997.

Address reprint requests to Dr Beekman, Division of Cardiology, Children’s Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH 45229

We describe a patient in whom a thrombus formed in the distal main pulmonary artery stump after a bidirectional Glenn procedure with division of the main pulmonary artery and in whom a restrictive inlet ventricular septal defect also developed. These findings emphasize the importance of maintaining antegrade flow through the pulmonary trunk and providing dual sources of ventricular outflow with a Damus-Kaye-Stansel anastomosis in patients with a univentricular heart without pulmonary stenosis.






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