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Case Reports

Staged Hybrid Left Pulmonary Artery Rehabilitation in Post-Fontan Left Pulmonary Artery Hypoplasia

^a Vanderbilt University School of Medicine, Nashville, Tennessee
^b Department of Cardiac Surgery, Vanderbilt Children’s Hospital, Vanderbilt University Medical Center, Nashville, Tennessee
^c Division of Cardiology, Baylor School of Medicine, Texas Children’s Hospital, Houston, Texas
^d Division of Pediatric Cardiology, Department of Pediatrics, Kaiser Permanente, Honolulu, Hawaii

Accepted for publication June 28, 2007.

^_* Address correspondence to Dr Bichell, Division of Cardiac Surgery, Vanderbilt Children’s Hospital, Vanderbilt University Medical Center, 5247 Doctor’s Office Tower, 2200 Children’s Way, Nashville, TN 37232-9292 (Email: david.bichell{at}vanderbilt.edu).

Left pulmonary artery hypoplasia in the setting of Fontan circulation predisposes to pulmonary artery discontinuity. We describe a novel approach to correct post-Fontan left pulmonary artery discontinuity by a strategy to produce isolated left pulmonary artery growth, followed by a catheter-based reincorporation of the left pulmonary artery into the Fontan circuit.