[Implantation of stents in Blalock-Taussig shunt in an adult patient with pulmonary atresia and interventricular septal defect].
We present the case of a 26 years-old woman with pulmonary atresia and interventricular septal defect. Classical Blalock-Taussig and Waterston-Cooley shunts were performed in infancy. When she was 14 years old related progressive cyanosis and dyspnea and angiography showed severe stenosis of the Blalock-Taussig. Cardiac catheterization performed 12 years later demonstrated complete obstruction of the shunt. A new surgical palliation was precluded by hemorrhagic complications. Two self-expandable stents were successfully deployed in Blalock-Taussig anastomosis: previously, a balloon-expandable stent was implanted in right pulmonary artery. Oxygen saturation increased from 68% to 89% after stents implantation. Twelve months later clinical and laboratory tests are still improved, and Doppler confirmed patency of the shunt.
Benito Bartolomé
F
F
Sección de Hemodinámica, Hospital La Paz, Madrid.
Sánchez Fernández-Bernal
C
C
Garzón Mol
G
G
Oliver Ruiz
J
J
D000328:Adult; D000792:Angiography; D006328:Cardiac Catheterization; D005260:Female; D005500:Follow-Up Studies; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D018633:Pulmonary Atresia / Q000601:surgery*; D015607:Stents; D013997:Time Factors