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Pediatric Cardiology

, Volume 28, Issue 4, pp 305–308 | Cite as

Traumatic Ascending Aortopulmonary Window Following Pulmonary Artery Stent Dilatation: Therapy with Aortic Endovascular Stent Graft

  • G. Ailawadi
  • D. S. Lim
  • B. B. Peeler
  • A. H. Matsumoto
  • M. D. Dake
CASE REPORT

Abstract

Endovascular stent grafts have become an established therapy in adults for descending thoracic aortic disease. We report a case of a 13-year-old boy with a hemodynamically significant traumatic aortopulmonary window following angioplasty of pulmonary artery stent. Endovascular stent graft implantation into the ascending aorta was performed to seal off the communication, with dramatic hemodynamic improvement.

Keywords

Aortopulmonary window Traumatic injury Endovascular stent graft Aorta Aortopulmonary fistula 

References

  1. 1.
    Campagna AC, Wehner JH, Kirsch CM, et al. (1996) Endovascular stenting of an aortopulmonary fistula presenting with hemoptysis. A case report. J Cardiovasc Surg 37:643–646Google Scholar
  2. 2.
    Dake MD, Kato N, Mitchell RS, et al. (1999) Endovascular stent-graft placement for the treatment of acute aortic dissection. N Engl J Med 340:1546–1552PubMedCrossRefGoogle Scholar
  3. 3.
    Dake MD, Miller DC, Semba CP, et al. (1994) Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms. N Engl J Med 331:1729–1734PubMedCrossRefGoogle Scholar
  4. 4.
    Farber MA (2006) Emergent stent-graft treatment for rupture. J Vasc Surg 43(Suppl A):44A–47APubMedCrossRefGoogle Scholar
  5. 5.
    Fleck T, Hutschala D, Czerny M, et al. (2002) Combined surgical and endovascular treatment of acute aortic dissection type A: preliminary results. Ann Thorac Surg 74:761–765PubMedCrossRefGoogle Scholar
  6. 6.
    Hoornweg LL, Dinkelman MK, Goslings JC, et al. (2006) Endovascular management of traumatic ruptures of the thoracic aorta: a retrospective multicenter analysis of 28 cases in The Netherlands. J Vasc Surg 43:1096–1102PubMedCrossRefGoogle Scholar
  7. 7.
    Ihnken K, Sze D, Dake MD, et al. (2004) Successful treatment of a Stanford type A dissection by percutaneous placement of a covered stent graft in the ascending aorta. J Thorac Cardiovasc Surg 127:1808–1810PubMedCrossRefGoogle Scholar
  8. 8.
    Kaw LL Jr, Owens EL, Kansal N (2005) Endovascular repair of an aortopulmonary fistula via the axillary artery. Ann Vasc Surg 4:487–491CrossRefGoogle Scholar
  9. 9.
    Kern JA, Matsumoto AH, Tribble CG, et al. (2006) Thoracic aortic endografting is the treatment of choice for elderly patients with thoracic aortic disease. Ann Surg 243:815–820PubMedCrossRefGoogle Scholar
  10. 10.
    Kochi K, Okada K, Watari M, et al. (2002) Hybrid endovascular stent grafting for aortic arch aneurysm with aortopulmonary fistula. J Thorac Cardiovasc Surg 123:363–364PubMedCrossRefGoogle Scholar
  11. 11.
    Maeder MT, Wolber T, Kunzli A, et al. (2006) Aortopulmonary fistula occurring 4 years after replacement of the ascending aorta. Ann Thorac Surg 81:e18–e20PubMedCrossRefGoogle Scholar
  12. 12.
    Szeto WY, Fairman RM, Acker MA, et al. (2006) Emergency endovascular deployment of stent graft in the ascending aorta for contained rupture of innominate artery pseudoaneurysm in a pediatric patient. Ann Thorac Surg 81:1872–1875PubMedCrossRefGoogle Scholar
  13. 13.
    Webb JG, Pasupati S, Achtem L, et al. (2006) Rapid pacing to facilitate transcatheter prosthetic heart valve implantation. Catheter Cardiovasc Interven 68:199–204CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • G. Ailawadi
    • 1
  • D. S. Lim
    • 2
  • B. B. Peeler
    • 1
  • A. H. Matsumoto
    • 3
  • M. D. Dake
    • 3
  1. 1.Department of SurgeryUniversity of VirginiaCharlottesvilleUSA
  2. 2.Department of PediatricsUniversity of VirginiaCharlottesvilleUSA
  3. 3.Department of RadiologyUniversity of VirginiaCharlottesvilleUSA

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