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Bronchial compression as adverse effect of right pulmonary artery stenting in a patient with truncus arteriosus communis and interrupted aortic arch


1 Department of Cardiovascular Science, East Carolina University 115 Heart Drive Greenville, NC 27834, USA
2 Department of Pediatrics, East Carolina University 115 Heart Drive Greenville, NC 27834, USA

Correspondence Address:
Dr. Koh Takeuchi
Department of Cardiovascular Science, East Carolina University 115 Heart Drive Greenville, NC 27834
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_63_18

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Year : 2019  |  Volume : 12  |  Issue : 1  |  Page : 66-68

 

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Aortic arch obstruction and bronchial compression are possible postoperative complications in patients with truncus arteriosus communis (TAC) with interrupted aortic arch (IAA). We present a case of bronchial compression as adverse effect of right pulmonary artery (PA) stenting in an infant with TAC (Type 4A)-IAA (Type B) repair. Due to growth potential, self-expandable metal stent was applied for postoperative proximal right PA stenosis, which caused bronchial compression. Later, we found patient having bronchomalacia. Surgical removal was needed. Stent insertion might be an option for postoperative PA stenosis, but bronchial compression might be a potential risk, particularly in patients with bronchomalacia.






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1 Department of Cardiovascular Science, East Carolina University 115 Heart Drive Greenville, NC 27834, USA
2 Department of Pediatrics, East Carolina University 115 Heart Drive Greenville, NC 27834, USA

Correspondence Address:
Dr. Koh Takeuchi
Department of Cardiovascular Science, East Carolina University 115 Heart Drive Greenville, NC 27834
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_63_18

Rights and Permissions

Aortic arch obstruction and bronchial compression are possible postoperative complications in patients with truncus arteriosus communis (TAC) with interrupted aortic arch (IAA). We present a case of bronchial compression as adverse effect of right pulmonary artery (PA) stenting in an infant with TAC (Type 4A)-IAA (Type B) repair. Due to growth potential, self-expandable metal stent was applied for postoperative proximal right PA stenosis, which caused bronchial compression. Later, we found patient having bronchomalacia. Surgical removal was needed. Stent insertion might be an option for postoperative PA stenosis, but bronchial compression might be a potential risk, particularly in patients with bronchomalacia.






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