title: Hoarseness after pulmonary arterial stenting and occlusion of the arterial duct.
abstract: We report a 12-year-old girl who had multiple congenital cardiac lesions, specifically an arterial duct, left pulmonary arterial stenosis, an atrial septal defect in the oval fossa, and mild Ebstein's malformation of the tricuspid valve. Therapeutic transcatheter intervention was performed to stent the left pulmonary artery, occlude the arterial duct with a coil, and place a device to close the atrial septal defect. Subsequent to the catheterization, she complained of hoarseness, which was shown to be due to entrapment of the left recurrent laryngeal nerve between the coil used to close the arterial duct and the stent placed in the left pulmonary artery. Laryngoscopy confirmed paralysis of the recurrent laryngeal nerve.
authors.affiliation: King Faisal Heart Center, Department of Cardiovascular Disease, Riyadh, Saudi Arabia.
authors.forename: Mervat
authors.initials: M
authors.lastname: Assaqqat
authors.forename: Ghassan
authors.initials: G
authors.lastname: Siblini
authors.forename: Fadel Al
authors.initials: FA
authors.lastname: Fadley
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery*; D006328:Cardiac Catheterization; D002648:Child; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005260:Female; D006685:Hoarseness; D006801:Humans; D015607:Stents / Q000009:adverse effects*; D014826:Vocal Cord Paralysis / Q000209:etiology*