Traumatic aortopulmonary window as a complication of pulmonary artery balloon angioplasty: transcatheter occlusion with a covered stent. A case report.
We describe a case in which pulmonary artery balloon angioplasty was complicated by formation of an aortopulmonary window, a previously unreported complication associated with this technique. A novel transcatheter approach for occluding the defect, a covered stent, was utilized. Deployment of the covered stent significantly reduced the shunt, allowed for clinical stabilization, and averted the need for emergency surgical intervention.
Preminger
T J
TJ
Department of Cardiology, Children's Hospital, Boston, Massachusetts 02115.
Lock
J E
JE
Perry
S B
SB
D000800:Angioplasty, Balloon / Q000295:instrumentation*; D001011:Aorta / Q000293:injuries*; D001159:Arterio-Arterial Fistula / Q000000981:diagnostic imaging* / Q000628:therapy; D002648:Child; D002932:Cineangiography; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011651:Pulmonary Artery / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000293:injuries*; D015607:Stents; D014188:Transposition of Great Vessels / Q000000981:diagnostic imaging / Q000601:surgery*