[Stenosis of the superior caval canal after Mustard and Senning procedures: treatment by dilatation and stent implantation. Two case reports].
The authors report two cases of stenosis of the superior caval canal after Mustard and Senning procedures for transposition of the great arteries in patients paced for atrial arrhythmia. During cardiac catheterisation, it was possible to treat the stenosis by perforation in one case and by balloon dilatation in the second, followed by the implantation of two stents to reestablish vascular patency. In one patient, two pacing catheters were implanted by an endovascular approach without complications three months after stenting; in the other case, epicardial pacing was required because the patient's condition could not wait for endothelialisation of the stent before implanting the pacing catheters. This technique of revascularisation may also be used in children with venous stenosis after implantation of endocavitary pacing catheters, in which the pacing system has to be changed.
Service de cardiologie pédiatrique, hôpital Necker-Enfants malades, 149, rue de Sèvres, 75 015 Paris.
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E
Villain
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Saliba
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Bonhoeffer
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Iserin
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Bonnet
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J
Kachaner
D000293:Adolescent; D006328:Cardiac Catheterization; D002404:Catheterization; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D011183:Postoperative Complications; D015607:Stents; D014188:Transposition of Great Vessels / Q000601:surgery*; D014652:Vascular Diseases / Q000209:etiology* / Q000628:therapy*; D014683:Vena Cava, Superior