Transcatheter treatment for pulmonary artery occlusion secondary to pulmonary embolism in an infant

Abstract

We report a case of successful recanalisation of the left pulmonary artery after occlusion due to embolic thrombi in a 9-month-old infant after surgical repair of a common atrioventricular canal with tetralogy of Fallot. A transhepatic approach was used because of caval vein thrombosis. After the failure of high-pressure balloon angioplasty, the left pulmonary artery was successfully recanalised with cutting balloons, followed by stent implantation with an excellent result.

Indications for stenting of coarctation of the aorta in children under 3 months of age

“…Our knowledge to date indicates that this is the first patient in the literature to successfully undergo treatment for an acute thrombus after coarctation surgery with a stent. Comparable techniques have been used to treat thrombotic pulmonary artery occlusion, but in chronic settings [12].…”