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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

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