Susan G. MacLellan-Tobert, M. D. , Frank Cetta, M. D. , Donald J

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Presentation transcript:

Use of Intravascular Stents for Superior Vena Caval Obstruction After the Mustard Operation Susan G. MacLellan-Tobert, M.D., Frank Cetta, M.D., Donald J. Hagler, M.D. Mayo Clinic Proceedings Volume 71, Issue 11, Pages 1071-1076 (November 1996) DOI: 10.4065/71.11.1071 Copyright © 1996 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 (case 1). Continuous wave Doppler tracing, demonstrating superior vena caval flow in 8-year-old boy 1 day after stent placement. Systolic and diastolic velocities were 0.3 m/s and 0.6 m/s, respectively. Mean gradient, traced over three cardiac cycles (between arrows), was 0.5 mm Hg. Mayo Clinic Proceedings 1996 71, 1071-1076DOI: (10.4065/71.11.1071) Copyright © 1996 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 (case 3). Angiogram, demonstrating stenosis of superior vena caval baffle in 17-year-old female adolescent. Mean gradient was 6 mm Hg. Mayo Clinic Proceedings 1996 71, 1071-1076DOI: (10.4065/71.11.1071) Copyright © 1996 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 3 (case 3). Angiogram after balloon dilation and intravascular stent placement in superior venous pathway. Mayo Clinic Proceedings 1996 71, 1071-1076DOI: (10.4065/71.11.1071) Copyright © 1996 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 4 (case 3). Angiogram, showing widely patent superior vena caval baffle after stent placement. Mean gradient was 1 mm Hg. Mayo Clinic Proceedings 1996 71, 1071-1076DOI: (10.4065/71.11.1071) Copyright © 1996 Mayo Foundation for Medical Education and Research Terms and Conditions