Evidence map›Paper›PMID 40780806›Full record

ArticleJACC. Case reports2025

Combined Use of a Modified Microvascular Plug Flow Restrictor and Right Ventricular Outflow Tract Stenting.

Jordan A Noble, Theodore J Millette, Samuel L Casella

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Jordan A NoblePediatric Cardiology, Children's Hospital of Richmond at VCU, Richmond, Virginia, USA. Electronic address: Jordan.noble@vcuhealth.org.
Theodore J MillettePediatric Cardiology, UVA Health Children's, Charlottesville, Virginia, USA.
Samuel L CasellaPediatric Cardiology, Children's Hospital of Richmond at VCU, Richmond, Virginia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe balance of pulmonary and systemic blood flow is the fundamental paradigm that influences decision-making in cardiovascular shunt physiology. CASE SUMMARY: This case discusses a term neonate with a prenatal diagnosis of 22q11.2 deletion syndrome and tetralogy of Fallot with near pulmonary atresia, a confluent but severely hypoplastic main pulmonary artery and right pulmonary artery, an isolated left pulmonary artery from the aorta, and major aortopulmonary collateral arteries. Before surgical intervention, a right ventricular outflow tract stent was placed along with a modified microvascular plug (mMVP; Medtronic) to restrict flow in the left pulmonary artery. DISCUSSION: Recently, there have been case reports using an mMVP as a pulmonary flow restrictor. This innovative technique has shown promise in modulating pulmonary blood flow for patients awaiting surgical interventions or for whom surgery presents significant risks. TAKE-HOME MESSAGE: In patients with excess pulmonary blood flow, use of an mMVP to restrict flow can be a viable bridge to surgical intervention.

Indexed as

congenital heart defectcyanotic heart diseaseperfusionpulmonary atresiapulmonary circulationtetralogy of Fallot

Identifiers

PMID40780806
PMCPMC12426561

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.