Stent placement in the ductus venosus of a neonate with total anomalous pulmonary venous return

Tatsuya Oonishi; Yasunobu Hayabuchi; Miho Sakata; Kazuhiro Mori; Shoji Kagami

doi:10.1007/s12574-011-0102-0

Stent placement in the ductus venosus of a neonate with total anomalous pulmonary venous return

J Echocardiogr. 2012 Mar;10(1):27-9. doi: 10.1007/s12574-011-0102-0. Epub 2012 Feb 1.

Authors

Tatsuya Oonishi¹, Yasunobu Hayabuchi², Miho Sakata², Kazuhiro Mori³, Shoji Kagami²

Affiliations

¹ Department of Pediatrics, School of Medicine, University of Tokushima, Kuramoto-cho-3, Tokushima, 770-8503, Japan. T_Onishi@clin.med.tokushima-u.ac.jp.
² Department of Pediatrics, School of Medicine, University of Tokushima, Kuramoto-cho-3, Tokushima, 770-8503, Japan.
³ Department of Pediatrics, Tokushima Prefectural Central Hospital, Tokushima, Japan.

PMID: 27277927
DOI: 10.1007/s12574-011-0102-0

Abstract

A newborn with right isomerism, infracardiac total anomalous pulmonary venous return (TAPVR), and obstruction of the ductus venosus underwent stent implantation in the ductus venosus at 4 h after birth. This procedure averted early pulmonary venous obstruction. Since gradual neointimal proliferation subsequently occurred within the stent, the patient underwent stent balloon dilatation at 35 days of age and underwent surgical repair of the TAPVR with a Blalock-Taussig shunt operation at 53 days of age. Finally, the patient was discharged without any complications. Transthoracic echocardiography is very useful to confirm subsequent minimal change within the stent.

Keywords: Ductus venosus; Neointimal proliferation; Pulmonary venous obstruction; Stent implantation; Total anomalous pulmonary venous return; Transthoracic echocardiography.