Late Endovascular Pulmonary Artery Band Migration

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Presentation transcript:

Late Endovascular Pulmonary Artery Band Migration Giovanni Battista Luciani, MD, Gianluca Lucchese, MD, PhD, Stiljan Hoxha, MD, Salvatore Torre, MD, Oscar Treviso, MD, Giuseppe Faggian, MD The Annals of Thoracic Surgery Volume 101, Issue 1, Pages 355-357 (January 2016) DOI: 10.1016/j.athoracsur.2015.03.074 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Computed tomography scan of the chest. (A) An axial scan shows marked pulmonary artery (PA) dilation, with abnormal position of the band titration titanium clips relative to the lumen (black asterisk). A large vascular recess below the sternum is evident (white asterisk). (B) Coronal scan of the dilated PA shows the endoluminal location of the titanium clips (black asterisk) and signs of localized dissection (white arrow). (C) Sagittal scan of the pseudoaneurysm position relative to the sternum. Endoluminal position of the titanium clips and indirect evidence of localized dissection are also visible. (D) Volume rendering of the vascular pathology shows the PA pseudoaneurysm (white asterisk). Moderate hypoplasia of the ascending aorta (Ao) and marked PA dilation, compatible with diagnosis of double-inlet left ventricle with 1-transposition of the great arteries, are also evident. The Annals of Thoracic Surgery 2016 101, 355-357DOI: (10.1016/j.athoracsur.2015.03.074) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Intraoperative view. Aspect of the pulmonary artery (PA) after incision of the pseudoaneurysmal sac (white arrow). All of the pulmonary band material, including the titanium titration clips, is within the lumen and presents some mild adhesions to the neointima. (Inset) Gross anatomy of the lesion after main PA transection. The intimate relation between the band and the PA intima is apparent, as well as its complete endoluminal position. The thin wall of the pseudoaneurysmal sac is also evident. The Annals of Thoracic Surgery 2016 101, 355-357DOI: (10.1016/j.athoracsur.2015.03.074) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions