D. Schranz et al., GRADUAL ANGIOPLASTY AND STENT IMPLANTATION TO TREAT COMPLETE SUPERIORVENA-CAVA OCCLUSION AFTER MUSTARD PROCEDURE, Catheterization and cardiovascular diagnosis, 38(1), 1996, pp. 87-90
A 16-year-old male was admitted with complete occlusion of the superio
r vena cava pathway 14 years after Mustard procedure for transposition
of the great arteries. From a left subclavian vein approach, the atre
tic vein segment was perforated using a straight guidewire, and was fo
llowed by sequential balloon dilation. Implantation of a 30 mm Palmaz-
stent through a femoral vein approach resulted in a widely patent chan
nel of the vena cava superior into the systemic venous atrium. (C) 199
6 Wiley-Liss, Inc.