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Right arrow Congenital - cyanotic

Ann Thorac Surg 2005;79:1754-1755
© 2005 The Society of Thoracic Surgeons

Case report

Covered Stent Treatment of Right Pulmonary Artery Stenosis and Waterston Shunt

Ingo Daehnert, MD*,a, Michael Wiener, MDa, Martin Kostelka, MDa

a Departments of Pediatric Cardiac Surgery and Pediatric Cardiology, Heart Center, University of Leipzig, Leipzig, Germany

Accepted for publication November 25, 2003.

* Address reprint requests to Dr Daehnert, Department of Pediatric Cardiology, Heart Center, University of Leipzig, Struempellstr 39, Leipzig 04289, Germany
ingodaehnert{at}yahoo.de

A 35-year-old man with residual Waterston shunt and concomitant right pulmonary artery stenosis after mutiple surgery for tetralogy of Fallot presented with significant left to right shunt and left heart failure. We describe the percutaneous placement of an endovascular stent graft to occlude the Waterston shunt and relieve the right pulmonary artery stenosis simultaneously. This novel use of a covered stent effectively treated a residual problem without reoperative thoracotomy.




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