title: Unexpected complication of uncovered aortic end in ductal stenting.
abstract: A newborn with tricuspid atresia and pulmonary atresia underwent ductal stenting. The aortic end of the ductus was not completely covered and was wide open; the baby was discharged on dual antiplatelets. The baby presented after a month with desaturation, and an angiogram showed extensive thrombus in the stent and the right pulmonary artery. The angle formed by the stent with the uncovered aortic end is likely to have precipitated the thrombus.
authors.affiliation: Department of Cardiology,Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST),Trivandrum,India.
authors.forename: Sasidharan
authors.initials: S
authors.lastname: Bijulal
authors.affiliation: Department of Cardiology,Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST),Trivandrum,India.
authors.forename: Deepa
authors.identifier: http://orcid.org/0000-0002-6714-0759
authors.initials: D
authors.lastname: Sasikumar
authors.affiliation: Department of Cardiology,Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST),Trivandrum,India.
authors.forename: Aamir
authors.initials: A
authors.lastname: Rashid
mesh_terms: D000015:Abnormalities, Multiple; D000792:Angiography; D004374:Ductus Arteriosus, Patent / Q000601:surgery*; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D018633:Pulmonary Atresia / Q000175:diagnosis / Q000601:surgery*; D015607:Stents / Q000009:adverse effects*; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology*
keywords: Stenting ductus; duct-dependent pulmonary circulation; pulmonary atresia; stent thrombosis