LPA Angioplasty Stent

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LPA Angioplasty Stent

By Pediatric and Adult Interventional Cardiac Symposium FEATURING David Nykanen

193 views

March 12, 2014

History:

• 9 month old TGA/VSD, juxtaposed RA appendage

• ASO, VSD closure (Complex RVOT ...
read more ↘ reconstruction with homograft as PA bifurcation rightward)

• Post op SVC obstruction asymptomatic

• ASA 20.5 mg daily

Physical Findings:

• Wt: 7 kg, Thriving, 1-2/6 SEM. No DM

• No hepatomegaly or ascites

Pertinent Tests:

LPS : Rt 74%, Lt 2

EKG:

• Sinus, normal axis, borderline LVH

Echo:

• No residual shunt, No RV/LV OTO, Diffuse LPA hypoplasia with flow acceleration, RSVC thrombus, good biventricular function.
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