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Learning from a case of right ventricular outflow tract stenting in tricuspid atresia with critical pulmonary stenosis

Part of: Functionally Univentricular Heart Interventional Cardiology

Published online by Cambridge University Press:  26 August 2020

Neeraj Awasthy Open the ORCID record for Neeraj Awasthy [Opens in a new window] ,
Romila Chimoriya Open the ORCID record for Romila Chimoriya [Opens in a new window]  and
Gaurav Kumar
Neeraj Awasthy*
Affiliation:
Department of Pediatric Cardiology, Max Superspeciality Hospital, Saket, Delhi, India
Romila Chimoriya
Affiliation:
Department of Pediatric Cardiology, Max Superspeciality Hospital, Saket, Delhi, India
Gaurav Kumar
Affiliation:
Department of Pediatric Cardiology, Max Superspeciality Hospital, Saket, Delhi, India
*
Author for correspondence: Neeraj Awasthy, 123, Anandkunj, Vikaspuri, New Delhi110018, India. Tel: +91-9811962775. E-mail: [email protected]
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Abstract

Tricuspid valve atresia with severe pulmonary stenosis is one of the common cyanotic diseases in neonate. Child can succumb due to profound cyanosis and arterial hypoxaemia after closure of patent ductus arteriosus. Evolving procedure of right ventricular outflow tract stenting may be considered as a palliative procedure in such vulnerable group, destined for a later definitive management. The right ventricular outflow tract stenting is described essentially for tetralogy of Fallot physiology with a catheter course across tricuspid valve. We describe a case of successful right ventricular outflow tract stenting in a 5-day-old symptomatic neonate. We discuss the possible routes and the tips to facilitate right ventricular outflow tract stenting in such a case. This happens to be the first reported case description with successful stenting of neonate with tricuspid atresia with critical pulmonic stenosis.

Keywords

Right ventricular outflow tract stentingtricuspid atresiapulmonic stenosis
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 10 , October 2020 , pp. 1541 - 1543
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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