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Eur J Cardiothorac Surg 2007;32:937-939. doi:10.1016/j.ejcts.2007.08.030
Copyright © 2007, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Miki Asano
Akira Mishima
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Case reports

Translocation of dilated pulmonary artery for relief of bronchial compression associated with ventricular septal defect

Norikazu Nomura, Miki Asano, Akihiro Mizuno, Akira Mishima*

Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences, Kawasumi 1, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan

Received 8 June 2007; received in revised form 21 August 2007; accepted 24 August 2007.

* Corresponding author. Address: Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences, Kawasumi 1, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan. Tel.: +81 52 853 8099; fax: +81 52 851 7201. (Email: mishima{at}med.nagoya-cu.ac.jp).

Bronchial compression due to a dilated pulmonary artery is a troublesome problem in the surgical management of infants or children with congenital heart disease. We experienced an infantile case of ventricular septal defect and prolonged respiratory insufficiency caused by right bronchial compression and left pulmonary hypoplasia. Anterior translocation of the dilated right pulmonary artery and intracardiac repair succeeded in relieving the bronchial compression and improving left pulmonary function. We advocate that this procedure is useful for bronchial compression with congenital heart disease and maldevelopment of the lung.

Key Words: Dilated pulmonary artery • Bronchial compression • Translocation of pulmonary artery






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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.