The application of simultaneous mainstem bronchus dilation with pulmonary artery stenting in the context of hypoplastic left heart syndrome

Salman S Hasan; Elena E Skaribas; Elaijah Islam; David Z Allen; Sancak Yuksel

doi:10.1093/jscr/rjad236

The application of simultaneous mainstem bronchus dilation with pulmonary artery stenting in the context of hypoplastic left heart syndrome

J Surg Case Rep. 2023 May 29;2023(5):rjad236. doi: 10.1093/jscr/rjad236. eCollection 2023 May.

Authors

Salman S Hasan¹, Elena E Skaribas², Elaijah Islam², David Z Allen³, Sancak Yuksel³

Affiliations

¹ Department of Internal Medicine, McGovern Medical School, Houston, TX, USA.
² McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA.
³ Department of Otorhinolaryngology-Head and Neck Surgery, McGovern Medical School, Houston, TX, USA.

Abstract

Hypoplastic left heart syndrome (HLHS) is a congenital diagnosis that necessitates immediate intervention at the beginning of life to ensure survival past infancy and to optimize left-side cardiac function. Often, these required procedures can lead to deleterious side effects and resultant complications. In this case report, we present a 15-month-old patient with HLHS who underwent multiple procedures, including two aortic arch surgeries. After the interventions, the patient experienced left main pulmonary bronchus compression along with pulmonary artery stenosis. In this case, we outline an approach to performing vascular dilation without compromise of airway patency.

Keywords: Balloon dilation; Bronchial dilation; Direct laryngoscopy; Hypoplastic left heart syndrome; Pulmonary artery stenosis; Pulmonary artery stenting.

Publication types

Case Reports