Stent implantation into vertical arterial duct in adult patient with cyanotic congenital heart disease

Ann Thorac Surg. 2005 Jan;79(1):e5-6. doi: 10.1016/j.athoracsur.2004.07.053.

Abstract

A 26-year-old patient, who has double inlet left ventricle, pulmonary atresia, and a patent vertical arterial duct, presented with progressive cyanosis with an arterial oxygen saturation of 71%. He had had three shunt operations and only the last aortopulmonary shunt was patent. Angiography revealed a stenotic aortopulmonary shunt, stenotic vertical arterial duct, and a branch stenosis of the left pulmonary artery. He underwent successful stent implantation into both the aortopulmonary shunt and vertical arterial duct and his arterial oxygen saturation increased to 88%. This case report illustrates that stent implantation into a vertical arterial duct is feasible and can be an alternative to shunt operation.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Blood Vessel Prosthesis
  • Catheterization*
  • Combined Modality Therapy
  • Cyanosis
  • Ductus Arteriosus, Patent / therapy*
  • Equipment Failure
  • Exercise Tolerance
  • Heart Defects, Congenital / blood
  • Heart Defects, Congenital / pathology
  • Heart Defects, Congenital / surgery
  • Heart Defects, Congenital / therapy*
  • Heart Ventricles / abnormalities
  • Humans
  • Male
  • Oxygen / blood
  • Pulmonary Artery / surgery
  • Pulmonary Atresia / surgery
  • Reoperation
  • Stents*

Substances

  • Oxygen