Implantation of drug-eluting stents for relief of obstructed infra-cardiac totally anomalous pulmonary venous connection in isomerism of the right atrial appendages.
We describe an infant with severe obstruction of infra-cardiac totally anomalous pulmonary venous connection associated with right isomerism, atrioventricular septal defect, pulmonary atresia, and multiple aortopulmonary collateral arteries. Implantation of a stent into the obstructed descending vertical vein provided effective palliation, with a dramatic increase in saturations of oxygen obviating the need for urgent high-risk surgery.
Wong
Derek T H
DT
Division of Cardiology, Department of Pediatrics, The Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Canada.
Yoo
Shi-Joon
SJ
Lee
Kyong-Jin
KJ
D006328:Cardiac Catheterization; D003097:Collateral Circulation; D017023:Coronary Angiography / Q000379:methods; D054855:Drug-Eluting Stents; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional; D007231:Infant, Newborn; D008297:Male; D017239:Paclitaxel / Q000008:administration & dosage; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D050257:Tubulin Modulators / Q000008:administration & dosage; D014694:Ventricular Outflow Obstruction / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*
D050257:Tubulin Modulators; D017239:Paclitaxel