Pediatric Heart Expert Forum
Pulmoanary artery stents possibility
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Pulmoanary artery stents possibility

Could you please tell me if this sounds like Right PA  could be stented? Main pulmonary artery is normal in appearance .Left PA is normal.Near midportion 17x17 RPA is smaller than LPA measures 12x12 with no focal stenosis its proximal course.However posterior to the SVC within the right hilar/perihilar region ,there is an abrupt caliber change with a small caliber (nearly pinpoint) right upper lobe pulmonary artery branch given off and long segments narrowing of the right interlobarvartery beyond this region with small calibarbranches more distally. the branch to the right upper lobemeasures only app2mm at its orgin and quickly tapers.The RIA narrows to appro 3x4mm and tapers to small caliber branches with only very small pulmonary arterial vessels visualized extending into the Rmiddle and lower lobes.  Thank you very much for your time

Lilly























9
773655_tn?1340656399
Unfortunately there is not enough information to answer your question at all.  We do not know how old your child is, what the underlying heart condition is, does your child have a genetic syndrome?  has any surgery ever been performed?  all of these things play into decision making.  Regardless, it sounds like some of the lung artery branches are quite narrow, but the decision to dilate or stent depends upon how many blockages are present, their location and what the pressures are inside the heart and lungs.
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Jeffrey R Boris, M.D.Blank
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