Stent Implantation Into Vertical Arterial Duct in Adult Patient With Cyanotic Congenital Heart Disease Kenji Suda, MD, Masahiko Matsumura, MD, Masahiko.

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Stent Implantation Into Vertical Arterial Duct in Adult Patient With Cyanotic Congenital Heart Disease Kenji Suda, MD, Masahiko Matsumura, MD, Masahiko Matsumoto, MD The Annals of Thoracic Surgery Volume 79, Issue 1, Pages e5-e6 (January 2005) DOI: 10.1016/j.athoracsur.2004.07.053 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Shunt and pulmonary arteries in angled anteroposterior view. (A) Before stent implantation, the third aortopulmonary shunt (S) showed discrete stenosis at the distal end (white arrow) and there was a branch stenosis of the left pulmonary artery (black arrowhead). (B) After stent implantation, the aorto-pulmonary shunt has been successfully dilated (white arrowhead) with increasing pulmonary blood flow. (LPA = left pulmonary artery; MPA = main pulmonary artery; RPA = right pulmonary artery.) The Annals of Thoracic Surgery 2005 79, e5-e6DOI: (10.1016/j.athoracsur.2004.07.053) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Vertical arterial duct in lateral view. (A) Before stent implantation, the vertical arterial duct (D) had a pinhole-like opening (white arrow). (B) After stent implantation, the vertical arterial duct (D) was well dilated with significantly increased blood flow to the LPA. Note a stent placed into the third aortopulmonary shunt (arrowhead) and calcified hematoma (H). (AscA = ascending aorta; LPA = left pulmonary artery.) The Annals of Thoracic Surgery 2005 79, e5-e6DOI: (10.1016/j.athoracsur.2004.07.053) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions