Author(s)

Sabine Recla, Blanka Steinbrenner, Jennifer Schreier, Stephan Fichtlscherer, Dorle Schmidt, Christian Apitz, Matthias Müller, Juergen Bauer, Hakan Akintuerk, Dietmar Schranz

Hessiches Kinderherzzentrum, Universit?tskliniken Giessen, Frankfurt, Germany.
Medizinische Klinik III, Kardiologie Universit?tsklinikum, Frankfurt, Germany.

Reported here is a 26-year-old patient with corrected congenital interrupted aortic arch admitted with massive hemoptysis and severe suprasystemic pul-monary hypertension provided him for heart-lung transplantation. Initial closure of a small aorto-pulmonary collateral remained ineffective. Persistent life-threatening hemoptysis led to the decision for a modified Potts shunt with the aim of decompressing the right ventricle and avoiding pulmonary-hypertensive crisis. The hemoptysis did not recur. However, the patient’s oxygen transport condition deteriorated and necessitated an orchestra of interventional-surgical approaches from re-coarctation stenting, Potts shunt flow reducing to surgical and transcatheter tricuspid valve repair with transient ECMO before the patient could be discharged home.

Pulmonary Hypertension; Potts Shunt; Edwards Tricuspid Valve; Hybrid-Procedure

Recla, S. , Steinbrenner, B. , Schreier, J. , Fichtlscherer, S. , Schmidt, D. , Apitz, C. , Müller, M. , Bauer, J. , Akintuerk, H. and Schranz, D. (2013) Surgical-interventional hybrid orchestra consisting of Potts shunt, transcatheter tricuspid valve repair by Edwards-valve in a 26-year-old patient with pulmonary hypertension and right ventricular failure. World Journal of Cardiovascular Diseases, 3, 1-4. doi: 10.4236/wjcd.2013.36A001.