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Histopathological follow-up after bailout stenting for early postoperative stenosis of a central aorto-pulmonary shunt

Published online by Cambridge University Press:  18 April 2005

Matthias Peuster
Affiliation:
Department of Pediatric Cardiology and Pediatric Intensive Care, Georg-August University, Goettingen, Germany
Peter Wohlsein
Affiliation:
Department of Pathology, School of Veterinary Medicine Hannover, Hannover, Germany
Christian von Schnakenburg
Affiliation:
Department of Pediatric Cardiology and Pediatric Intensive Care, Georg-August University, Goettingen, Germany

Abstract

We treated a neonate with pulmonary atresia and a ventricular septal defect complicated by straddling of the atrioventricular valves by constructing a central aorto-pulmonary shunt. The postoperative course was complicated by obstruction of the shunt, which was treated by implantation of a coronary stent. Six months after the stenting, a Glenn anastomosis was created and the stented shunt removed. Analysis showed that the shunt was completely covered by a vascularized neointima. The stent had not produced injury to the shunt, with struts of the stent covered nicely by neoendothelium, with sparse inflammation surrounding the artificial implants.

Type
Brief Report
Copyright
© 2003 Cambridge University Press

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References

Peuster M, Fink C, Bertram H, Paul T, Hausdorf G. Transcatheter recanalization and subsequent stent implantation for the treatment of early postoperative thrombosis of modified Blalock-Taussig shunts in two children. Cathet Cardiovasc Diagn 1998; 45: 405408.Google Scholar
Richardson KC, Jarett L, Finke EH. Embedding in epoxy resins for ultrathin sectionning in electron microscopy. Stain Technol 1960; 35: 313325.Google Scholar

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Histopathological follow-up after bailout stenting for early postoperative stenosis of a central aorto-pulmonary shunt
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Histopathological follow-up after bailout stenting for early postoperative stenosis of a central aorto-pulmonary shunt
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