Document Detail


Coronary stent insertion into a 20-year-old Blalock-Taussig Shunt.
MedLine Citation:
PMID:  16986570     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 21 year-old female with complex congenital heart disease presented with declining exercise tolerance, presyncope and increasing cyanosis despite regular venesection. Her double inlet left ventricle with rudimentary right ventricle, restrictive ventricular septal defect and pulmonary stenosis had been managed with a Classic Left Blalock-Taussig (B-T) Shunt aged 2 months and a Modified Right B-T Shunt at 4 years. Aortography revealed a patent but significantly narrowed Left B-T shunt with impaired blood flow and an aneurysmal pulmonary artery. Angioplasty and stenting of the shunt was undertaken and a 4.0 x 12mm coronary stent deployed. The patient's arterial oxygen saturation improved from 76% on pulse oximetry to 85% post procedure and she reported significantly improved exercise tolerance upon follow-up.
Authors:
A Maree; K P Walsh
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Irish medical journal     Volume:  99     ISSN:  0332-3102     ISO Abbreviation:  Ir Med J     Publication Date:    2006 Jul-Aug
Date Detail:
Created Date:  2006-09-21     Completed Date:  2006-12-18     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0430275     Medline TA:  Ir Med J     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  218     Citation Subset:  IM    
Affiliation:
Harvard Medical School and Massachusetts General Hospital, Division of Cardiology, GRB800, 55 Fruit Street, Boston, MA 02114, USA. amaree@mgh.harvard.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Balloon Dilatation
Blood Vessel Prosthesis / adverse effects
Blood Vessel Prosthesis Implantation / methods*
Child
Female
Heart Defects, Congenital / surgery*
Humans
Pulmonary Artery / surgery*
Reoperation
Stents*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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