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Ann Thorac Surg. 2019 May 11. pii: S0003-4975(19)30686-1. doi: 10.1016/j.athoracsur.2019.04.015. [Epub ahead of print]

Relief of anteriorly translocated pulmonary artery compression with a Nuss bar.

Author information

1
Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital.
2
Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital. Electronic address: scsung21@naver.com.
3
Department of Pediatrics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital.

Abstract

A concomitant anterior translocation of the right pulmonary artery (RPA) can be used in patients with airway compression by a dilated RPA associated with congenital heart disease having a large left-to-right shunt or aortic arch anomaly. However, a chest wall deformity and mechanical compression of the anteriorly translocated RPA could develop after the operation. In this situation, simple RPA angioplasty is not sufficient. Therefore, we have adopted a technique to perform the concomitant Nuss procedure in an effort to resolve this problem. After eight months of follow-up, a widely-patent RPA and a normal appearance of the chest wall were confirmed.

KEYWORDS:

Nuss procedure; Pulmonary artery stenosis; chest wall deformity

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