Gradual angioplasty and stent implantation to treat complete superior vena cava occlusion after Mustard procedure.
A 16-year-old male was admitted with complete occlusion of the superior vena cava pathway 14 years after Mustard procedure for transposition of the great arteries. From a left subclavian vein approach, the atretic vein segment was perforated using a straight guidewire, and was followed by sequential balloon dilation. Implantation of a 30 mm Palmaz-stent through a femoral vein approach resulted in a widely patent channel of the vena cava superior into the systemic venous atrium.
Schranz
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D
Department of Pediatric Cardiology, University of Mainz, Germany.
Michel-Behnke
I
I
Schmid
F X
FX
Oelert
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H
D000293:Adolescent; D000800:Angioplasty, Balloon; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000628:therapy*; D015607:Stents; D013479:Superior Vena Cava Syndrome / Q000628:therapy*; D014188:Transposition of Great Vessels / Q000601:surgery*