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Main pulmonary artery translocation for left pulmonary stenosis

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1 Main pulmonary artery translocation for left pulmonary stenosis
Masahiro Yoshida, MD, Yoshihiro Oshima, MD, Chikashi Shimazu, MD, Hironori Matsuhisa, MD, Tomonori Higuma, MD, Yutaka Okita, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 133, Issue 4, Pages e2 (April 2007) DOI: /j.jtcvs Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Preoperative pulmonary angiogram shows nonconfluent pulmonary arteries. Left pulmonary flow was maintained from the arterial duct. The MPA is large enough for translocation (Δ). The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 MPA translocation. MPA, main pulmonary artery.
The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

4 Figure E1 Preoperative pulmonary angiogram shows severe left pulmonary stenosis with a long segmental lesion. The MPA is large enough for translocation (Δ). MPA, main pulmonary artery. The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

5 Figure E2 Left-sided BDG shunt was anastomosed at the superior aspect of MPA translocation. BDG, bidirectional Glenn; MPA, main pulmonary artery. The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

6 Figure E3 Postoperative 3-dimensional computed tomography of case 1 showed a widely patent left pulmonary artery. mBT, Modified Blalock–Taussig; Ao, aorta; PA, pulmonary artery. The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

7 Figure E4 Postoperative 3-dimensional computed tomography of case 2 also showed a widely patent left pulmonary artery (Δ). The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

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