Managing a Rare Major Aortopulmonary Collaterals with Single Ventricle Physiology through Coiling and Cavopulmonary Shunt in a Single Hybrid Setting: A Case Report

Authors

  • Samir Kumar Yadav Department of Cardiovascular & Thoracic Surgery, Maharajgunj Medical Campus, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Kathmandu, Nepal
  • Anil Bhattarai Department of Cardiovascular & Thoracic Surgery, Maharajgunj Medical Campus, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Kathmandu, Nepal
  • Ravi Baral Department of Cardiovascular & Thoracic Surgery, Maharajgunj Medical Campus, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Kathmandu, Nepal
  • Prabhat Khakural Department of Cardiovascular & Thoracic Surgery, Maharajgunj Medical Campus, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Kathmandu, Nepal

Keywords:

Double Outlet Right Ventricle, Single Ventricle Physiology, Major Aortopulmonary Collateral Arteries, Bidirectional Glenn procedure, Case Report

Abstract

We report a case of a 15-year-old female with single ventricle physiology, double outlet right ventricle, situs inversus, and major aortopulmonary collateral arteries (MAPCAs), treated in a single hybrid setting with endovascular coiling of nonessential MAPCAs and Bidirectional Glenn (BDG) procedure. Current guidelines recommend optimizing the pulmonary vascular bed through unifocalization of essential MAPCAs and embolization of nonessential MAPCAs to achieve Cavo pulmonary anastomosis, often via single- or multi-staged approaches. This case demonstrates the feasibility of a hybrid approach for complex CHDs.

 

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Published

2025-12-31

How to Cite

Yadav, S. K., Bhattarai, A., Baral, R., & Khakural, P. (2025). Managing a Rare Major Aortopulmonary Collaterals with Single Ventricle Physiology through Coiling and Cavopulmonary Shunt in a Single Hybrid Setting: A Case Report. Journal of Institute of Medicine Nepal, 47(3), 110–112. Retrieved from https://nepjol.info/index.php/JIOM/article/view/93017

Issue

Vol. 47 No. 3 (2025): Journal of Institute of Medicine Nepal

Section

Case Reports

License

Copyright (c) 2026 The Author(s)

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