Transcatheter right ventricular outflow tract stent implantation in a child with pentalogy of Cantrell, double outlet right ventricle, and severe pulmonary stenosis.

Abstract

We described a 5-week-old boy with dextrocardia, double outlet right ventricle, and severe pulmonary stenosis with pentalogy of Cantrell. There was a defect within the sternum, diaphragm, and a prominent left ventricular diverticulum. Hypercyanotic spells developed with desaturation to 50%. Two Vision coronary stents were implanted in the right ventricular outflow tract with a significant improvement in oxygen saturation to 85%. This represents the first report of transcatheter pulmonary stent implantation as a form of palliation in a child with pentalogy of Cantrell.

• Authors: Colin J McMahon, Kevin P Walsh
• Journal: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (Catheter Cardiovasc Interv) Vol. 82 Issue 7 Pg. 1164-7 (Dec 01 2013) ISSN: 1522-726X [Electronic] United States
• PMID: 23404713 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2013 Wiley Periodicals, Inc.

Topics

• Cardiac Catheterization (instrumentation)
• Cardiac Surgical Procedures
• Coronary Angiography
• Dextrocardia (complications)
• Double Outlet Right Ventricle (complications, diagnosis, therapy)
• Echocardiography, Doppler, Color
• Humans
• Infant
• Male
• Palliative Care
• Pentalogy of Cantrell (complications, diagnosis, therapy)
• Pulmonary Valve Stenosis (complications, diagnosis, therapy)
• Severity of Illness Index
• Stents
• Treatment Outcome
• Ventricular Outflow Obstruction (diagnosis, etiology, therapy)