Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-22T20:34:51.506Z Has data issue: false hasContentIssue false

Placement of endovascular stents for systemic venous obstruction after the Mustard operation

Published online by Cambridge University Press:  19 August 2008

Jassim M. Abdulhamed*
Affiliation:
From the Department of Paediatric Cardiology, Armed Forces Cardiac Centre, Riyadh
Saad Al Yousef
Affiliation:
From the Department of Paediatric Cardiology, Armed Forces Cardiac Centre, Riyadh
Mohamed A. Ali Khan
Affiliation:
From the Department of Paediatric Cardiology, Armed Forces Cardiac Centre, Riyadh
Martin O'Laughlin
Affiliation:
From the Department of Paediatric Cardiology, Armed Forces Cardiac Centre, Riyadh
*
Dr. Jassim M. Abdulhamed, Armed Forces Cardiac Centre, Department of Paediatric Cardiology, P.O. Box 7897, Riyadh, Kingdom of Saudi Arabia.

Abstract

Three patients aged five years, five years four months and 14 years with obstruction of the systemic venous baffle following the Mustard operation were treated with balloon dilation and implantation ofstents. Balloon dilation of the baffle obstruction was performed initially in the first two cases. In the third case, the obstruction was complete and was punctured with atranseptal needle via a 6 French transeptal sheath followed by a balloon dilation. in all three patients, a Palmaz stent (Johnson & Johnson, Summerville, New Jersey, USA) was loaded onto the balloon catheter and delivered into the stenotic area. There was complete relief of obstruction in allcases. The first case developed supraventricular tachycardia at the time ofcatheterization, the morning following implantation of the stent and thentwo weeks after that. There were no complications with catheterization and noshort-term side effects in the other cases. These cases illustrate the use of endovascular stents in the treatment of baffle obstruction.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Stark, J, Tynan, MJ, Aschraft, KW, Aberdeen, E, Waterston, DJ. Obstruction of pulmonary veins and superior vena cava after the Mustard operation for transposition of the great arteries. Circulation 1972; 46 (Suppl I): I 116I 120.Google Scholar
2.Lock, JE, Bass, JL, Castañeda-Zuniga, W, Fuhrman, BP, Rashkind, WJ, Lucas, RV Jr. Dilation angioplasry of congenital or operative narrowing of venous channel. Circulation 1984; 70: 459464.CrossRefGoogle ScholarPubMed
3.Cooper, SG, Sullivan, MB, Bull, C, Taylor, JFN. Balloon dilation of pulmonary venous pathway obstruction after Mustard repair for transposition of the great arteries. J Am Coll Cardiol 1989; 14: 194198.Google ScholarPubMed
4.Palmaz, JC, Richter, GM, Noeldge, G, Schatz, RA, Robison, PD, Gardiner, GA, Becker, GJ, McLean, GK, Denny, DF, Lammer, J, Paolini, RM, Rees, CR, Alvarado, R, Heiss, HW, Root, HD, Rogers, W. Intraluminal stents in atherosclerotic iliac artery stenosis: preliminary report of multicenter study. Radiology 1988; 168: 727731.CrossRefGoogle ScholarPubMed
5.O'Laughlin, MP, Perry, SB, Lock, JE, Mullins, CE. Use of endovascular stents in congenital heart disease. Circulation 1991; 83: 19231939.CrossRefGoogle ScholarPubMed
6.Mullins, CE, O'Laughlin, MP, Vick, GW III, Mayer, DC, Myers, IJ, Kearney, DL. Implantation of balloon expandable intravascular graft by catheterization in pulmonary arteries and systemic veins. Circulation 1988; 77: 188199.CrossRefGoogle ScholarPubMed
7.Rosenthal, E, Qureshi, SA. Stent implantation in congenital heart disease. Brit Heart J 1992; 67: 211212.Google ScholarPubMed
8.Chatelain, P, Meier, B, Friedls, B. Stenting of superior vena cava and inferior vena cava for symptomatic narrowing after repeated atrial surgery for D-transposition of the great vessels. Br Heart J 1991; 66: 466468.CrossRefGoogle ScholarPubMed