title: Successful transvenous mechanical lead extraction and stent implantation in a patient after Mustard palliation for D-transposition of great arteries and superior vena cava syndrome.
abstract: : We report a successful combined approach of transvenous mechanical pacing lead extraction and stent angioplasty for superior baffle occlusion in a young woman with D-transposition of great artery after Mustard procedure. After having extracted the pacing leads, the baffle was easily stented, thanks to the channel left by the extracted leads. Eventually, a new pacing lead was implanted into the pulmonic ventricle through the stented baffle. Our report demonstrates the safeness and feasibility of a combined interventional approach in avoiding the need for surgery.
authors.affiliation: aDepartment of Cardiac, Thoracic and Vascular Sciences bPediatric Cardiology Unit, Department of Women's and Children's Health, University of Padua, Padua, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Migliore
authors.forename: Sonia
authors.initials: S
authors.lastname: Ferretto
authors.forename: Biagio
authors.initials: B
authors.lastname: Castaldi
authors.forename: Nicola
authors.initials: N
authors.lastname: Maschietto
authors.forename: Loira
authors.initials: L
authors.lastname: Leoni
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D017130:Angioplasty / Q000295:instrumentation*; D000069278:Arterial Switch Operation / Q000009:adverse effects*; D001919:Bradycardia / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D002304:Cardiac Pacing, Artificial; D000072226:Computed Tomography Angiography; D020878:Device Removal; D004867:Equipment Design; D005260:Female; D006801:Humans; D010138:Pacemaker, Artificial; D010166:Palliative Care; D010690:Phlebography / Q000379:methods; D015641:Radiography, Interventional; D015607:Stents; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D014188:Transposition of Great Vessels / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging