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Placement of endovascular stents for systemic venous obstruction after the Mustard operation

Published online by Cambridge University Press:  19 August 2008

Jassim M. Abdulhamed ,
Saad Al Yousef ,
Mohamed A. Ali Khan  and
Martin O'Laughlin
Jassim M. Abdulhamed*
Affiliation:
From the Department of Paediatric Cardiology, Armed Forces Cardiac Centre, Riyadh
Saad Al Yousef
Affiliation:
From the Department of Paediatric Cardiology, Armed Forces Cardiac Centre, Riyadh
Mohamed A. Ali Khan
Affiliation:
From the Department of Paediatric Cardiology, Armed Forces Cardiac Centre, Riyadh
Martin O'Laughlin
Affiliation:
From the Department of Paediatric Cardiology, Armed Forces Cardiac Centre, Riyadh
*
Dr. Jassim M. Abdulhamed, Armed Forces Cardiac Centre, Department of Paediatric Cardiology, P.O. Box 7897, Riyadh, Kingdom of Saudi Arabia.
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Abstract

Three patients aged five years, five years four months and 14 years with obstruction of the systemic venous baffle following the Mustard operation were treated with balloon dilation and implantation ofstents. Balloon dilation of the baffle obstruction was performed initially in the first two cases. In the third case, the obstruction was complete and was punctured with atranseptal needle via a 6 French transeptal sheath followed by a balloon dilation. in all three patients, a Palmaz stent (Johnson & Johnson, Summerville, New Jersey, USA) was loaded onto the balloon catheter and delivered into the stenotic area. There was complete relief of obstruction in allcases. The first case developed supraventricular tachycardia at the time ofcatheterization, the morning following implantation of the stent and thentwo weeks after that. There were no complications with catheterization and noshort-term side effects in the other cases. These cases illustrate the use of endovascular stents in the treatment of baffle obstruction.

Keywords

Pediatric interventionstentspediatric cardiac catheterization
Type
Original Articles
Information
Cardiology in the Young , Volume 4 , Issue 4 , October 1994 , pp. 390 - 394
Copyright
Copyright © Cambridge University Press 1994

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