Use of self expanding stents in stenotic aortopulmonary shunts in adults with complex cyanotic heart disease
R Badera, J Somervillea, A Redingtonb
a Jane Somerville
Grown-up Congenital Heart Unit, Department of Paediatrics, Royal
Brompton Hospital and National Heart and Lung Institute, Imperial
College of Science, Technology and Medicine, Sydney Street, London SW3 6NP, UK, b Department of Paediatrics, Royal Brompton
Hospital and National Heart and Lung Institute
Correspondence to: Dr Redington.
Accepted for publication 1 February 1999
OBJECTIVE
To describe
the use of self expanding stents in treating long segment stenosis of
aortopulmonary shunts (APS) in adults.
DESIGNClinical
records, catheterisation data, cineangiograms, and operation notes of
four consecutive patients undergoing stent implantation since December
1994 were studied retrospectively.
SETTINGA tertiary
referral centre for cardiac disease.
SUBJECTSFour patients
underwent cardiac catheterisation because of clinical deterioration.
Their age ranged between 23 and 32 years. The underlying diagnosis was
complex cyanotic heart disease in all. Three had a stenotic
interposition graft, and one had a classic Blalock shunt.
RESULTSThere was one
technical failure owing to migration of the stent distal to an ostial
stenosis. The ability index, resting oxygen saturation, and exercise
tolerance improved in the remainder. Their medium term results have
been excellent.
CONCLUSIONSThis
technique may further palliate adult patients with complex congenital
heart disease, though the long term patency of stents is unknown.
Keywords: congenital heart disease; stents; aortopulmonary shunt
© 1999 by Heart
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