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The use of a self-expandable stent with a self-expandable stent graft in a Fontan baffle

  • Eun Young Choi (a1), Kyung Suk Lee (a2) and Jin-young Song (a3)

Abstract

Intravascular or intracardiac stenosis occurs in various congenital heart diseases or after surgical repair. Although balloon angioplasty is the first option for relieving stenosis, frequently restenosis occurs because of elastic recoil or kingking component. The use of a self-expandable stent and covered stent in congenital heart disease has been reported for selected cases. In general, they have been performed for coarctation of the aorta or aortic aneurysm. We now report successful implantation of a self-expandable stent with a self-expandable covered stent graft in a case of lateral tunnel dehiscence with stenosis after a Fontan operation.

Copyright

COPYRIGHT: © Cambridge University Press 2012

Corresponding author

Correspondence to: Dr Jin-young Song, MD, PhD, Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-Dong, Gangnam-gu, Seoul, South Korea. Tel: +82 10 8618 1798; Fax: +82 2 3410 0043; E-mail: amyjys@naver.com

References

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2. Hijazi, ZM, Ruiz, CE, Patel, H. Catheter therapy for Fontan baffle obstruction and leak, using endovascular covered stent. Cathet Cardiovasc Diagn 1998; 45: 158–161.
3. Gianfranco, B, Luciane, P, Massimo, C, et al. Covered stents in patients with congenital heart defects. Catheter Cardiovasc Interv 2006; 67: 466–472.
4. Uberoi, R, Roberts, P, Barnes, N, Wilson, N. Transcatheter closure of total cavopulmonary connection lateral tunnel dehiscence and fenestration using a custom-made, self expanding stent graft. Cardiovasc Intervent Radiol 2009; 32: 385–387.
5. Cheung, YF, Sanatani, S, Leung, MP, Human, DG, Chau, AK, Culham, JA. Early and intermediate-term complications of self-expanding stents limit its potential application in children with congenital heart disease. J Am Coll Cardiol 2000; 35: 1007–1015.
6. Lou, WS, Gu, JP, He, X, et al. Endovascular treatment for iliac vein compression syndrome: a comparison between the presence and absence of secondary thrombosis. Korean J Radiol 2009; 10: 135–143.
7. Lastovickova, J, Peregrin, JH. Primary self-expandable nitinol stent placement in focal lesions of infrarenal abdominal aorta: long term results. Cardiovasc Intervent Radiol 2008; 31: 43–48.

Keywords

The use of a self-expandable stent with a self-expandable stent graft in a Fontan baffle

  • Eun Young Choi (a1), Kyung Suk Lee (a2) and Jin-young Song (a3)

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