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Stenting and Reimplanting Disconnected Pulmonary Artery in Tetralogy of Fallot  Harikrishnan K.N. Kurup, MBBS, MD, Giedrius Baliulis, MD, FRCS, Marcus.

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Presentation on theme: "Stenting and Reimplanting Disconnected Pulmonary Artery in Tetralogy of Fallot  Harikrishnan K.N. Kurup, MBBS, MD, Giedrius Baliulis, MD, FRCS, Marcus."— Presentation transcript:

1 Stenting and Reimplanting Disconnected Pulmonary Artery in Tetralogy of Fallot 
Harikrishnan K.N. Kurup, MBBS, MD, Giedrius Baliulis, MD, FRCS, Marcus P. Haw, MBBS, FRCS, Joseph J. Vettukattil, MD, FRCPCH  The Annals of Thoracic Surgery  Volume 104, Issue 1, Pages e75-e77 (July 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Computed tomography angiogram and aortogram demonstrating the ductal diverticulum. (A) The outpouching from the left subclavian artery soon after its takeoff from the aorta demonstrates an outpouching labelled “ductal diverticulum” which corresponds to the angiographic appearance (B). This represent the stump of the DA and potential for continuity with the disconnected LPA. (LV = left ventricle; RPA = right pulmonary artery.) The Annals of Thoracic Surgery  , e75-e77DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Fluoroscopy shows the guidewire placed in the left pulmonary vasculature after stenting the discontinuous proximal left pulmonary artery. The Annals of Thoracic Surgery  , e75-e77DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Angiogram following the procedure depicting optimal flow into the left pulmonary artery (LPA). (A) Angiogram prior to stent angioplasty and (B) post-procedure angiogram showing unobstructed flow into the stented LPA. The Annals of Thoracic Surgery  , e75-e77DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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