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Reverse Potts shunt as rescue from venoarterial extracorporeal membrane oxygenation in pulmonary veno-occlusive disease

Published online by Cambridge University Press:  22 May 2025

Emily Davies
Affiliation:
Division of Pediatric Critical Care Medicine, UMC Children’s Hospital, University Medical Center of Southern Nevada, Las Vegas, NV, USA
Can Yerebakan
Affiliation:
Department of Cardiothoracic Surgery, Nationwide Children’s Hospital, Columbus, OH, USA
John T. Berger*
Affiliation:
Division of Cardiac Critical Care Medicine, Children’s National Hospital, Washington, DC, USA Division of Cardiology, Children’s National Hospital, Washington, DC, USA
*
Corresponding author: John T. Berger; Email: jberger@childrensnational.org

Abstract

Pulmonary veno-occlusive disease has no definitive cure apart from lung transplant. The reverse Potts shunt can be a palliative bridge to transplant. A post-arrest 14-year-old with severe pulmonary veno-occlusive disease on extracorporeal membrane oxygenation support was decannulated after reverse Potts shunt and survived to lung transplant. Reverse Potts shunt should be considered as a rescue in select patients with end-stage pulmonary veno-occlusive disease.

Type
Brief Report
Copyright
© The Author(s), 2025. Published by Cambridge University Press

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