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Ann Thorac Surg. 2005 May;79(5):1754-5.

Covered stent treatment of right pulmonary artery stenosis and Waterston shunt.

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Department of Pediatric Cardiac Surgery, Heart Center, University of Leipzig, Leipzig, Germany.


A 35-year-old man with residual Waterston shunt and concomitant right pulmonary artery stenosis after multiple surgery for tetralogy of Fallot presented with significant left to right shunt and left heart failure. We describe the percutaneous placement of an endovascular stent graft to occlude the Waterston shunt and relieve the right pulmonary artery stenosis simultaneously. This novel use of a covered stent effectively treated a residual problem without reoperative thoracotomy.

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