Complete resolution of systemic venous baffle obstruction and baffle leak using the Gore Excluder covered stent in two patients with transposition of the great arteries and prior Mustard procedure.
We present two patients with a history of Mustard repair of transposition of the great arteries. Both patients presented with exertional limitation and demonstrated superior systemic venous baffle obstruction as well as multiple baffle leaks. In both patients stent relief of obstruction and baffle leak exclusion was accomplished using a combination of bare metal stents and the aortic extension portion of the Gore Excluder covered stent (W.L. Gore and Associates, Flagstaff, Arizona).
Hill
Kevin D
KD
Division of Pediatric Cardiology, Duke University Medical Center, Durham, North Carolina 27710, USA. kevin.hill@duke.edu
Fudge
J Curt
JC
Rhodes
John F
JF
D000328:Adult; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002675:Child, Preschool; D020099:Coated Materials, Biocompatible; D005080:Exercise Test; D006801:Humans; D008297:Male; D008670:Metals; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy*; D011474:Prosthesis Design; D015607:Stents; D014188:Transposition of Great Vessels / Q000601:surgery*; D016896:Treatment Outcome
D020099:Coated Materials, Biocompatible; D008670:Metals