Stent placement in the ductus venosus of a neonate with total anomalous pulmonary venous return.
A newborn with right isomerism, infracardiac total anomalous pulmonary venous return (TAPVR), and obstruction of the ductus venosus underwent stent implantation in the ductus venosus at 4 h after birth. This procedure averted early pulmonary venous obstruction. Since gradual neointimal proliferation subsequently occurred within the stent, the patient underwent stent balloon dilatation at 35 days of age and underwent surgical repair of the TAPVR with a Blalock-Taussig shunt operation at 53 days of age. Finally, the patient was discharged without any complications. Transthoracic echocardiography is very useful to confirm subsequent minimal change within the stent.
Department of Pediatrics, School of Medicine, University of Tokushima, Kuramoto-cho-3, Tokushima, 770-8503, Japan. T_Onishi@clin.med.tokushima-u.ac.jp.
Tatsuya
T
Oonishi
Department of Pediatrics, School of Medicine, University of Tokushima, Kuramoto-cho-3, Tokushima, 770-8503, Japan.
Yasunobu
Y
Hayabuchi
Department of Pediatrics, School of Medicine, University of Tokushima, Kuramoto-cho-3, Tokushima, 770-8503, Japan.
Miho
M
Sakata
Department of Pediatrics, Tokushima Prefectural Central Hospital, Tokushima, Japan.
Kazuhiro
K
Mori
Department of Pediatrics, School of Medicine, University of Tokushima, Kuramoto-cho-3, Tokushima, 770-8503, Japan.
Shoji
S
Kagami
Ductus venosus; Neointimal proliferation; Pulmonary venous obstruction; Stent implantation; Total anomalous pulmonary venous return; Transthoracic echocardiography