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Pediatric Cardiology
Published in: Pediatric Cardiology 1/2013

01-01-2013 | Case Report

Right Pulmonary Artery Thrombosis After Hybrid Stage 1 Palliation: Resolution After Direct Tissue Plasminogen Activator Infusion

Authors: Michael R. Recto, Sandy Doyle, M. Patricia Massicotte, Vitor C. Guerra, Song Gui Yang, Thomas Yeh Jr.

Published in: Pediatric Cardiology | Issue 1/2013

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Abstract

A patient with unbalanced right ventricular dominant atrioventricular septal defect with ascending and transverse arch hypoplasia underwent hybrid stage 1 palliation. On postoperative day 7, he experienced irritability and acute cyanosis. Echocardiography demonstrated a thrombus occluding the right pulmonary artery band. Emergency cardiac catheterization confirmed thrombosis of the right pulmonary artery at the site of the band. Direct infusion of tissue plasminogen activator successfully lysed the thrombus.
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Literature
1.
Antman EM, Anbe DT, Armstrong PW, Bates ER, Green LA, Hand M, Hochman JS, Krumholz HM, Kushner FG, Lamas GA, Mullany CJ, Ornato JP, Pearle DL, Sloan MA, Smith SC, Alpert JS, Anderson JL, Faxon DP, Fuster V, Gibbons RJ, Halperin JL, Gregoratos G, Hiratzka LF, Hunt SA, Jacobs AK (2004) ACC/AHA guidelines for the management of patients with ST elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation 110:e82–e292PubMedCrossRef
2.
Baker-Smith CM, Neish SR, Klitzner TS, Beekman RH, Kugler JD, Martin GR, Lannon C, Jenkins KJ, Rosenthal GL (2011) Variation in postoperative care following stage I palliation for single ventricle patients: a report from the joint council on congenital heart disease national quality improvement collaborative. Congenit Heart Dis 6:116–127PubMedCrossRef
3.
Chen Q, Parry AJ (2009) The current role of hybrid procedures in the stage 1 palliation of patients with hypoplastic left heart syndrome. Eur J Cardiothoracic Surg 36:77–83CrossRef
4.
Egan MJ, Hill SL, Boettner BL, Holzer RJ, Phillips AB, Galantowicz M, Cheatham JP, Kovalchin JP (2011) Predictors of retrograde arch obstruction after hybrid palliation of hypoplastic left heart syndrome. Pediatr Cardiol 32:67–75PubMedCrossRef
5.
Galantowicz M, Cheatham JP (2005) Lessons learned from the development of a new hybrid strategy for the management of hypoplastic left heart syndrome. Pediatr Cardiol 26:190–199CrossRef
6.
Galantowicz M, Cheatham JP, Phillips A, Cua CL, Hoffman TM, Hill SL, Rodeman R (2008) Hybrid approach for hypoplastic left heart syndrome: intermediate results after the learning curve. Ann Thorac Surg 85:2063–2071PubMedCrossRef
7.
The GUSTO investigators (1993) An international randomized trial comparing four thrombolytic strategies for acute myocardial infarction. N Engl J Med 329:673–682CrossRef
Metadata
Title
Right Pulmonary Artery Thrombosis After Hybrid Stage 1 Palliation: Resolution After Direct Tissue Plasminogen Activator Infusion
Authors
Michael R. Recto
Sandy Doyle
M. Patricia Massicotte
Vitor C. Guerra
Song Gui Yang
Thomas Yeh Jr.
Publication date
01-01-2013
Publisher
Springer-Verlag
Published in
Pediatric Cardiology / Issue 1/2013
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-012-0278-8

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