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. 1999 Feb;81(2):218–220. doi: 10.1136/hrt.81.2.218

Intravascular stenting of systemic venous baffle stenosis after corrective surgery for double outlet right ventricle with left isomerism

T Miura 1, T Sano 1, H Matsuda 1
PMCID: PMC1728935  PMID: 9922365

Abstract

A 14 year old girl with double outlet right ventricle, left isomerism, and complicated atrial anatomy had undergone corrective surgery with intra-atrial rerouting at 5 years of age. Cardiac catheterisation eight years after the surgery showed that she had two systemic venous baffle stenoses: between the hepatic vein and caval vein, and the caval vein and right atrium. Two Palmaz stents were successfully implanted percutaneously through a long sheath and a balloon catheter. The stenoses were relieved immediately and her symptoms quickly disappeared.

 Keywords: stents; congenital heart defects; baffle stenoses

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Figure 1  .

Figure 1  

(A) Preoperative atrial and caval anatomy. (B) Operative procedures. HAV, hemiazygous vein; HV, hepatic vein; RA, right sided atrium; SVC, superior vena cava.

Figure 2  .

Figure 2  

Angiogram before stent implantation. Arrows indicate baffle stenoses.

Figure 3  .

Figure 3  

Angiogram after stent implantation.


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