Stent implantation in right-sided patent ductus arteriosus to relieve severe cyanosis in adult patient with pulmonary atresia and ventricular septal defect

✍ Scribed by Sanjay Tyagi; Girish Dwivedi; Mohit Dayal Gupta; Upkar A. Kaul

• Publisher: John Wiley and Sons
• Year: 2004
• Tongue: English
• Weight: 107 KB
• Volume: 61
• Category: Article
• ISSN: 1522-1946
• DOI: 10.1002/ccd.10747

✦ Synopsis

Abstract

Patients with unrepaired pulmonary atresia and ventricular septal defect may develop stenosis of collaterals or shunts to the pulmonary arteries leading to hypoperfusion of lungs and systemic hypoxemia. A 25‐year‐old female with pulmonary atresia and ventricular septal defect presented with progressively increasing cyanosis and exercise intolerance. A restrictive right‐sided patent ductus arteriosus was identified as the main source of pulmonary blood flow. We report transcatheter implantation of a balloon‐expandable stent across the stenosed duct to augment the pulmonary blood flow as a palliative management option. Patient had immediate improvement in arterial oxygen saturation from 66% to 85% with excellent clinical improvement and stable oxygen saturation on 8 months of follow‐up. Catheter Cardiovasc Interv 2004;61:271–274. © 2004 Wiley‐Liss, Inc.