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Eur J Cardiothorac Surg 1999;14:332-334
© 1999 Elsevier Science NL

Case report

Stent implantation for post-Mustard systemic venous obstruction

Giuseppe Santoroa, Luigi Ballerinia, Jacek Bialkowskib, Ramon Bermùdez-Canetec

a Pediatric Cardiology, Ospedale `Bambino Gesù', P.zza S. Onofrio, 4, 00165 Rome, Italy
b Pediatric Cardiology, Silesian Center of Heart Diseases, Zabrze, Poland
c Pediatric Cardiology, `Ramon y Cajal' Hospital, Madrid, Spain

Received 24 February 1998; received in revised form 19 May 1998; accepted 26 May 1998.

Corresponding author. Tel.: +39 6 68592333; fax: +39 6 68592457; e-mail: r.formigari@mclink.it

In this paper, we report on the use of stents in the treatment of late-onset post-Mustard systemic venous obstruction in three patients with clinical signs of obstructive caval syndrome. After unsuccessful balloon dilation, Palmaz-Schatz stents were implanted at the veno-atrial junction. Further dilation has been achieved using high-pressure balloons. Vessel diameter increased from 4.4±1.8 to 13±1.7 mm (P<0.05) and the trans-stenotic pressure gradient dropped from 8±6 to 0 mmHg (P<0.01), with clinical improvement. After 26±4 months of non-invasive follow-up, no signs of recurrent stenosis were observed. Stent implantation is effective in the treatment of systemic venous obstruction after Mustard operation.

Key Words: Transposition of the great arteries • Atrial switch operation • Systemic venous obstruction • Stent implantation






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Copyright © 1998 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.