Hostname: page-component-76fb5796d-x4r87 Total loading time: 0 Render date: 2024-04-26T19:47:25.544Z Has data issue: false hasContentIssue false

Implantation of drug-eluting stents for relief of obstructed infra-cardiac totally anomalous pulmonary venous connection in isomerism of the right atrial appendages

Published online by Cambridge University Press:  01 December 2008

Derek T. H. Wong
Affiliation:
Division of Cardiology, Department of Pediatrics, The Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Canada
Shi-Joon Yoo
Affiliation:
Division of Cardiology, Department of Pediatrics, The Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Canada Department of Diagnostic Imaging, The Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Canada
Kyong-Jin Lee*
Affiliation:
Division of Cardiology, Department of Pediatrics, The Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Canada
*
Correspondence to: Dr Kyong-Jin Lee, The Hospital for Sick Children, 555 University Avenue, Toronto, CanadaM5G 1X8. Tel: 416 813 7326; Fax: 416 813 5857; E-mail: kyong-jin.lee@sickkids.ca

Abstract

We describe an infant with severe obstruction of infra-cardiac totally anomalous pulmonary venous connection associated with right isomerism, atrioventricular septal defect, pulmonary atresia, and multiple aortopulmonary collateral arteries. Implantation of a stent into the obstructed descending vertical vein provided effective palliation, with a dramatic increase in saturations of oxygen obviating the need for urgent high-risk surgery.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 2008

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.Yun, TJ, Al-Radi, OO, Adatia, I, et al. Contemporary management of right atrial isomerism: effect of evolving therapeutic strategies. J Thorac Cardiovasc Surg 2006; 131: 11081113.Google Scholar
2.Hashmi, A, Abu-Sulaiman, R, McCrindle, BW, Smallhorn, JF, Williams, WG, Freedom, RM. Management and outcomes of right atrial isomerism: a 26-year experience. J Am Coll Cardiol 1998; 31: 11201126.CrossRefGoogle ScholarPubMed
3.Karamlou, T, Gurofsky, R, Al Sukhni, E, et al. Factors associated with mortality and reoperation in 377 children with total anomalous pulmonary venous connection. Circulation 2007; 115 12: 15911598.Google Scholar
4.Kyser, JP, Bengur, AR, Siwik, ES. Preoperative palliation of newborn obstructed total anomalous pulmonary venous connection by endovascular stent placement. Catheter Cardiovasc Interv 2006; 67: 473476.CrossRefGoogle ScholarPubMed
5.Lo-A-Njoe, SM, Blom, NA, Bokenkamp, R, Ottenkamp, J. Stenting of the vertical vein in obstructed total anomalous pulmonary venous return as rescue procedure in a neonate. Catheter Cardiovasc Interv 2006; 67: 668670.CrossRefGoogle ScholarPubMed
6.Kilgore, A, Lucas, V, Collins, T, Snyder, CS. Stent implantation as a stabilization technique in supracardiac total anomalous pulmonary venous connection. Catheter Cardiovasc Interv 2006; 68: 629631.CrossRefGoogle ScholarPubMed
7.Jhang, WK, Chang, YJ, Park, CS, Oh, YM, Kim, YH, Yun, TJ. Hybrid palliation for right atrial isomerism associated with obstructive total anomalous pulmonary venous drainage. Interact Cardiovasc Thorac Surg 2008; 7: 282284.CrossRefGoogle ScholarPubMed
8.Serruys, PW, Sianos, G, Abizaid, A, et al. The effect of variable dose and release kinetics on neointimal hyperplasia using a novel paclitaxel-eluting stent platform: the Paclitaxel In-Stent Controlled Elution Study (PISCES). J Am Coll Cardiol 2005; 46: 253260.Google Scholar
9.Koch, A, Ludwig, J, Zink, S, Singer, H. Isolated left pulmonary artery: interventional stenting of a persistent fifth aortic arch. Catheter Cardiovasc Interv 2007; 70: 105109.CrossRefGoogle ScholarPubMed
10.Riede, FT, Schneider, P, Dahnert, I. Transient sirolimus serum levels after implantation of a sirolimus eluting stent in an infant. Clin Res Cardiol 2007; 96: 508510.CrossRefGoogle ScholarPubMed