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

Published online by Cambridge University Press:  03 April 2012

Eun Young Choi
Affiliation:
Department of Pediatric Cardiology, Sejong Cardiovascular Center, Sejong General Hospital, Bucheon, South Korea
Kyung Suk Lee
Affiliation:
Department of Pediatrics, College of Medicine, Kyung Hee University, South Korea
Jin-young Song*
Affiliation:
Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea
*
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

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.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 2012

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References

1. Pedra, CAC, Fontes, VF, Esteves, CA, et al. Use of covered stents in the management of coarctation of the aorta. Pediatr Cardiol 2005; 26: 431439.Google Scholar
2. Hijazi, ZM, Ruiz, CE, Patel, H. Catheter therapy for Fontan baffle obstruction and leak, using endovascular covered stent. Cathet Cardiovasc Diagn 1998; 45: 158161.Google Scholar
3. Gianfranco, B, Luciane, P, Massimo, C, et al. Covered stents in patients with congenital heart defects. Catheter Cardiovasc Interv 2006; 67: 466472.Google Scholar
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: 385387.Google Scholar
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: 10071015.CrossRefGoogle ScholarPubMed
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: 135143.Google Scholar
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: 4348.Google Scholar