# Transcatheter Resolution of a Failed Neoconfluence in Pulmonary Atresia With Discontinuous Pulmonary Arteries

**Authors:** Jorge Alberto Silva-Estrada, Pavel Martinez-Dominguez, José Luis Colín-Ortiz, Alfredo Bobadilla-Aguirre, Nilda Espinola-Zavaleta

PMC · DOI: 10.1016/j.jaccas.2023.102210 · 2024-01-04

## TL;DR

A newborn with severe heart defects underwent surgery and stenting to improve blood flow to the lungs.

## Contribution

This case highlights a novel transcatheter approach to resolve complications following a failed neoconfluence in complex congenital heart disease.

## Key findings

- A newborn with pulmonary atresia and discontinuous pulmonary arteries underwent surgical neoconfluence and shunt placement.
- Postoperative stenting was required to address pulmonary artery stenosis.
- Transcatheter intervention successfully resolved the failed neoconfluence.

## Abstract

We present a case of a full-term newborn with complex congenital heart defects, including single-ventricle physiology and discontinuous pulmonary arteries. Prompt surgical intervention was performed, which involved pulmonary neoconfluence with autologous pericardium graft and systemic-to-pulmonary shunt placement. However, postoperative complications required stenting to address pulmonary artery stenosis.

## Full-text entities

- **Diseases:** congenital heart defects (MESH:D006330), postoperative complications (MESH:D011183), pulmonary artery stenosis (MESH:D000071079), Pulmonary Atresia (MESH:D018633)

## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC10874992/full.md

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Source: https://tomesphere.com/paper/PMC10874992