Successful transvenous mechanical lead extraction and stent implantation in a patient after Mustard palliation for D-transposition of great arteries and superior vena cava syndrome

J Cardiovasc Med (Hagerstown). 2016 Dec:17 Suppl 2:e210-e211. doi: 10.2459/JCM.0000000000000410.

Abstract

: We report a successful combined approach of transvenous mechanical pacing lead extraction and stent angioplasty for superior baffle occlusion in a young woman with D-transposition of great artery after Mustard procedure. After having extracted the pacing leads, the baffle was easily stented, thanks to the channel left by the extracted leads. Eventually, a new pacing lead was implanted into the pulmonic ventricle through the stented baffle. Our report demonstrates the safeness and feasibility of a combined interventional approach in avoiding the need for surgery.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Adult
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / etiology
  • Aneurysm, False / therapy*
  • Angioplasty / instrumentation*
  • Arterial Switch Operation / adverse effects*
  • Bradycardia / diagnosis
  • Bradycardia / physiopathology
  • Bradycardia / therapy*
  • Cardiac Pacing, Artificial
  • Computed Tomography Angiography
  • Device Removal*
  • Equipment Design
  • Female
  • Humans
  • Pacemaker, Artificial*
  • Palliative Care*
  • Phlebography / methods
  • Radiography, Interventional
  • Stents
  • Superior Vena Cava Syndrome / diagnostic imaging
  • Superior Vena Cava Syndrome / etiology
  • Superior Vena Cava Syndrome / therapy*
  • Transposition of Great Vessels / diagnostic imaging
  • Transposition of Great Vessels / surgery*
  • Treatment Outcome
  • Vena Cava, Superior* / diagnostic imaging