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Ductus arteriosus obstruction induced by vertical vein stenting in single-ventricle physiology with supracardiac total anomalous pulmonary venous connection

Published online by Cambridge University Press:  10 July 2025

Tomoaki Taruya
Affiliation:
Department of Cardiology, Kanagawa Children’s Medical Center, Yokohama, Japan
Shin Ono*
Affiliation:
Department of Cardiology, Kanagawa Children’s Medical Center, Yokohama, Japan
Hideaki Ueda
Affiliation:
Department of Cardiology, Kanagawa Children’s Medical Center, Yokohama, Japan
*
Corresponding author: Shin Ono; Email: onodjangoshin@gmail.com

Abstract

A newborn with right atrial isomerism, single-ventricle physiology, supracardiac total anomalous pulmonary venous connection, and pulmonary atresia underwent vertical vein stenting, resulting in ductus arteriosus compression. Subsequent ductal stenting restored patency, preventing haemodynamic compromise and ensuring survival. This case highlights the risk of secondary ductal obstruction in vertical vein stenting and the importance of early recognition and intervention.

Information

Type
Case Report
Copyright
© The Author(s), 2025. Published by Cambridge University Press

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References

Kirshbom, PM, Myung, RJ, Gaynor, JW, et al. Preoperative pulmonary venous obstruction affects long-term outcome for survivors of total anomalous pulmonary venous connection repair. Ann Thorac Surg 2002; 74: 16161620.CrossRefGoogle ScholarPubMed
Hoashi, T, Kagisaki, K, Oda, T, et al. Long-term results of treatments for functional single ventricle associated with extracardiac type total anomalous pulmonary venous connection. Eur J Cardiothorac Surg 2013; 43: 965970.10.1093/ejcts/ezs594CrossRefGoogle ScholarPubMed
Kyser, JP, Bengur, AR, Siwik, ES. Preoperative palliation of newborn obstructed total anomalous pulmonary venous connection by endovascular stent placement. Catheter Cardiovasc Interv 2006; 67: 473476.10.1002/ccd.20478CrossRefGoogle ScholarPubMed
Kilgore, A, Lucas, V, Collins, T, Snyder, CS. Stent implantation as a stabilization technique in supracardiac total anomalous pulmonary venous connection. Catheter Cardiovasc Interv 2006; 68: 629631.CrossRefGoogle ScholarPubMed
Koneti, NR, Kandraju, H, Kanchi, V, Arramraju, SK. Endovascular stenting of the obstructed vertical vein in a neonate with supracardiac total anomalous pulmonary venous return. Ann Pediatr Cardiol 2012; 5: 7577.10.4103/0974-2069.93717CrossRefGoogle Scholar
Meadows, J, Marshall, AC, Lock, JE, Scheurer, M, Laussen, PC, Bacha, EA. A hybrid approach to stabilization and repair of obstructed total anomalous pulmonary venous connection in a critically ill newborn infant. J Thorac Cardiovasc Surg 2006; 131: E1E2.10.1016/j.jtcvs.2005.12.009CrossRefGoogle Scholar
Tseng, SY, Truong, VT, Peck, D, et al. Patent ductus arteriosus stent versus surgical aortopulmonary shunt for initial palliation of cyanotic congenital heart disease with ductal-dependent pulmonary blood flow: a systematic review and meta-analysis. J Am Heart Assoc 2022; 11: e024721.10.1161/JAHA.121.024721CrossRefGoogle ScholarPubMed
Cheung, YF, Cheng, VY, Chau, AK, Chiu, CS, Yung, TC, Leung, MP. Outcome of infants with right atrial isomerism: is prognosis better with normal pulmonary venous drainage? Heart 2002; 87: 146152.10.1136/heart.87.2.146CrossRefGoogle ScholarPubMed
Kitano, M, Yazaki, S, Kagisaki, K, Kurosaki, K. Primary palliative stenting against obstructive mixed-type total anomalous pulmonary venous connection associated with right atrial isomerism. J Interv Cardiol 2009; 22: 404409.10.1111/j.1540-8183.2009.00481.xCrossRefGoogle ScholarPubMed
Itoi, T. Stenting as a possible new therapeutic strategy to the obstructed TAPVC. J Cardiol Cases 2013; 8: e93e94.10.1016/j.jccase.2013.05.001CrossRefGoogle Scholar