Abstract
Surgical arterioplasty for left pulmonary branch stenosis has often produced unsatisfactory results. We report a new operative technique involving the main pulmonary artery (MPA) translocation technique. This technique provided a wide patency without overstretching. Technique The operation is performed through a median sternotomy. In cases that require an additional aortopulmonary shunt, this procedure is performed through a standard left posterolateral thoracotomy. The left pulmonary artery and MPA are completely dissected to allow anastomosis without overstretching, and the stenotic portion is transected. Next, the MPA is transected and the distal stump is translocated to the distal left pulmonary artery. The anastomosis is completed with a running suture of 7-0 polypropylene. After this anastomosis, a modified Blalock‐Taussig (BT) shunt or a bidirectional Glenn (BDG) shunt is created. Results
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