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Unexpected complication of uncovered aortic end in ductal stenting

Published online by Cambridge University Press:  12 December 2016

Sasidharan Bijulal ,
Deepa Sasikumar Open the ORCID record for Deepa Sasikumar [Opens in a new window]  and
Aamir Rashid
Sasidharan Bijulal
Affiliation:
Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Trivandrum, India
Deepa Sasikumar*
Affiliation:
Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Trivandrum, India
Aamir Rashid
Affiliation:
Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Trivandrum, India
*
Correspondence to: D. Sasikumar, Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Trivandrum 695011, India. Tel: +919447367696; Fax: +914712446433; E-mail: [email protected]
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Abstract

A newborn with tricuspid atresia and pulmonary atresia underwent ductal stenting. The aortic end of the ductus was not completely covered and was wide open; the baby was discharged on dual antiplatelets. The baby presented after a month with desaturation, and an angiogram showed extensive thrombus in the stent and the right pulmonary artery. The angle formed by the stent with the uncovered aortic end is likely to have precipitated the thrombus.

Keywords

Stenting ductuspulmonary atresiaduct-dependent pulmonary circulationstent thrombosis
Type
Images in Congenital Cardiac Disease
Information
Cardiology in the Young , Volume 27 , Issue 3 , March 2017 , pp. 573 - 574
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Copyright
© Cambridge University Press 2016 

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