The Turkish Journal of Pediatrics 2007 , Vol 49 , Num 4
Stent implantation into the patent ductus arteriosus in cyanotic congenital heart disease with duct-dependent or diminished pulmonary circulation
Department of Pediatric Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center and Research Hospital, İstanbul, Turkey Çelebi A, Yalçın Y, Erdem A, Zeybek C, Akdeniz C, Polat TB. Stent implantation into the patent ductus arteriosus in cyanotic congenital heart disease with duct-dependent or diminished pulmonary circulation. Turk J Pediatr 2007; 49: 413-417.

We assessed the efficacy and safety of stent implantation into the ductus arteriosus in infants with cyanotic heart disease.

Ten patients with duct-dependent or diminished pulmonary circulation underwent cardiac catheterization with the aim of stent implantation. Coronary stents of 3.5-4 mm in diameter were used and successfully implanted in eight.

All patients in whom stent implantation was successful had adequate relief of their cyanosis and were discharged home. During a mean follow-up of 9.3 months (median 10 months), one patient had evidence of restenosis of the stent at five months. Re-dilatation of the stenosed stent was attempted but was unsuccessful and a modified left Blalock-Taussig shunt was placed surgically.

Stent implantation of ductus arteriosus in neonates and infants with a ductdependent pulmonary circulation is an effective and safe palliative procedure. It may be an alternative to surgical systemic-pulmonary artery shunt in a select group of patients. Keywords : Ductus arteriosus, stent implantation, cyanotic heart disease

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