Relief of Anteriorly Translocated Pulmonary Artery Compression With a Nuss Bar.

A concomitant anterior translocation of the right pulmonary artery (RPA) can be used in patients with airway compression by a dilated RPA associated with congenital heart disease having a large left-to-right shunt or aortic arch anomaly. However a chest wall deformity and mechanical compression of the anteriorly translocated RPA could develop after the operation. In this situation simple RPA angioplasty is not sufficient. Therefore we adopted a technique to perform a concomitant Nuss procedure in an effort to resolve this problem. After 8 months of follow-up a widely patent RPA and a normal appearance of the chest wall were confirmed.