Massive haemorrhage at resternotomy after stent implantation in ventriculo-pulmonary shunt after Norwood procedure

The ventriculo-pulmonary shunt in hypoplastic left heart syndrome has become an alternative to the arterio-pulmonary shunt. We present a patient with a severe stenosis in the ventriculo-pulmonary shunt at the proximal anastomosis, for which emergency balloon dilatation and stent implantation was performed. The location of the stent in the shunt, leaving only a thin compressed infundibular myocardium directly beneath the sternum, predisposed to massive haemorrhage at resternotomy for bidirectional Glenn procedure. 2006 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.

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