Stent implantation into vertical arterial duct in adult patient with cyanotic congenital heart disease.
A 26-year-old patient, who has double inlet left ventricle, pulmonary atresia, and a patent vertical arterial duct, presented with progressive cyanosis with an arterial oxygen saturation of 71%. He had had three shunt operations and only the last aortopulmonary shunt was patent. Angiography revealed a stenotic aortopulmonary shunt, stenotic vertical arterial duct, and a branch stenosis of the left pulmonary artery. He underwent successful stent implantation into both the aortopulmonary shunt and vertical arterial duct and his arterial oxygen saturation increased to 88%. This case report illustrates that stent implantation into a vertical arterial duct is feasible and can be an alternative to shunt operation.
Suda
Kenji
K
Department of Pediatrics, Tenri Hospital, Tenri City, Japan. kensuda@tenriyorozu-hp.or.jp
Matsumura
Masahiko
M
Matsumoto
Masahiko
M
D000328:Adult; D001807:Blood Vessel Prosthesis; D002404:Catheterization; D003131:Combined Modality Therapy; D003490:Cyanosis; D004374:Ductus Arteriosus, Patent / Q000628:therapy*; D004868:Equipment Failure; D017079:Exercise Tolerance; D006330:Heart Defects, Congenital / Q000097:blood / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D006352:Heart Ventricles / Q000002:abnormalities; D006801:Humans; D008297:Male; D010100:Oxygen / Q000097:blood; D011651:Pulmonary Artery / Q000601:surgery; D018633:Pulmonary Atresia / Q000601:surgery; D012086:Reoperation; D015607:Stents
D010100:Oxygen