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Cathet Cardiovasc Diagn. 1996 May;38(1):87-90; discussion 91.

Gradual angioplasty and stent implantation to treat complete superior vena cava occlusion after Mustard procedure.

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Department of Pediatric Cardiology, University of Mainz, Germany.


A 16-year-old male was admitted with complete occlusion of the superior vena cava pathway 14 years after Mustard procedure for transposition of the great arteries. From a left subclavian vein approach, the atretic vein segment was perforated using a straight guidewire, and was followed by sequential balloon dilation. Implantation of a 30 mm Palmaz-stent through a femoral vein approach resulted in a widely patent channel of the vena cava superior into the systemic venous atrium.

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