Mahan Vicki L, Stevens Randy M, Mesia Cesar I, Schwartz Roy E, Moulick Achintya N
Division of Cardiothoracic Surgery, Department of Surgery, St. Christopher's Hospital for Children, 3601 A St, Philadelphia, PA 19134; Drexel University College of Medicine, Philadelphia, PA 19102.
Division of Cardiothoracic Surgery, Department of Surgery, St. Christopher's Hospital for Children, 3601 A St, Philadelphia, PA 19134; Drexel University College of Medicine, Philadelphia, PA 19102.
J Clin Anesth. 2016 Aug;32:12-6. doi: 10.1016/j.jclinane.2015.12.017. Epub 2016 Mar 22.
The internal mammary artery (IMA) has been used as a systemic-to-pulmonary artery shunt in selected patients with congenital heart disease. Growth and development of hypoplastic pulmonary arteries have been described. We discuss the surgical and anesthetic management of an infant with an atretic-thrombosed right pulmonary artery originating from the ascending aorta in whom the IMA was used to create a systemic-to-pulmonary artery shunt after failure of a previous shunt and later successful pulmonary artery reconstruction. The IMA should be considered as an alternative conduit in patients requiring a systemic-to-pulmonary artery shunt for growth of pulmonary arteries.
