Intervening for RPA stenosis following Waterston shunt: Importance of anatomical definition of the coronary arteries

Catheter Cardiovasc Interv. 2014 Mar 1;83(4):591-4. doi: 10.1002/ccd.25003. Epub 2013 Nov 18.

Abstract

Right pulmonary artery (RPA) stenosis following Waterston shunt is common. We report a case of RPA stenosis many years following tetralogy of Fallot repair with take-down of a Waterston shunt and demonstrate an unusual and important anatomic variant of proximity of the left coronary artery to the mid-portion of the RPA.

Keywords: congenital heart disease in adults; pediatric interventions; pulmonary angiography.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angioplasty, Balloon* / instrumentation
  • Blood Vessel Prosthesis Implantation
  • Cardiac Surgical Procedures / adverse effects*
  • Constriction, Pathologic
  • Coronary Angiography
  • Coronary Vessel Anomalies / complications*
  • Coronary Vessel Anomalies / diagnosis
  • Female
  • Graft Occlusion, Vascular / diagnosis
  • Graft Occlusion, Vascular / etiology
  • Graft Occlusion, Vascular / physiopathology
  • Graft Occlusion, Vascular / therapy*
  • Humans
  • Magnetic Resonance Imaging
  • Palliative Care
  • Pulmonary Artery / abnormalities
  • Pulmonary Artery / diagnostic imaging
  • Pulmonary Artery / physiopathology
  • Pulmonary Artery / surgery*
  • Stents
  • Tetralogy of Fallot / surgery*
  • Treatment Outcome
  • Vascular Patency