European Journal of Cardio-Thoracic Surgery, Vol 12, 497-500, Copyright © 1997 by European Association for Cardio-thoracic Surgery
Remarkable growth of the internal mammary artery used for systemic-to- pulmonary artery shunt in a patient with cyanotic heart disease
T Sakai, Y Ueda, H Ogino and K Morioka
Department of Cardiovascular Surgery, Tenri Hospital, Nara, Japan.
The left internal mammary artery-to-the left pulmonary artery shunt was
created in a 16-year-old boy with single ventricle, severe pulmonary
stenosis palliated by Glenn shunt at the age of two. Four years follow- up
angiogram demonstrated a significant increase of the diameter of the left
internal mammary artery from 4 to 7 mm. The internal mammary artery is a
good alternative conduit for a systemic-to-pulmonary artery shunt for a
cyanotic heart disease because of its growth potential.