Percutaneous interventions in high‐risk patients following mustard repair of transposition of the great arteries

• DOI: 10.1002/ccd.23470
• Publication Date: 2012-03-14T18:00:47Z
• Authors: Kevin D. Hill; Gregory Fleming; J. Curt Fudge; Erin L. Albers; Thomas P. Doyle; John F. Rhodes
• Keywords: Adult; Cardiac Catheterization; Pacemaker, Artificial; Chi-Square Distribution; Cardiac Pacing, Artificial; Infant, Newborn; Infant; Equipment Design; Kaplan-Meier Estimate; Embolization, Therapeutic; Echocardiography, Doppler, Color; 3. Good health; 03 medical and health sciences; Postoperative Complications; 0302 clinical medicine; Child, Preschool; Humans; Equipment Failure; Angioplasty, Balloon, Coronary; Cardiac Surgical Procedures; Child; Device Removal; Echocardiography, Transesophageal

Abstract Objectives To assess safety, efficacy, and intermediate term outcomes of percutaneous interventions in Mustard patients. Background Baffle leaks obstruction are present 20% survivors. Surgical reintervention is associated with high mortality. Methods Retrospective review performed at three adult congenital catheterization programs. Results Overall, 26 catheterizations 29 were 22 patients (mean age 32.4 ± 8.3 years). Previous laser pacemaker lead extraction was successful seven procedures where the risk. Stent placement all 18 systemic venous baffle (SVB) gradient: 6.2 3.4–0.6 1.0 mm Hg; P < 0.01, narrowest diameter 4.5 4.5–17.1 3.9 mm; 0.01). Balloon angioplasty two for pulmonary (PVB) mixed results. leak included device occlusion ( n = 6), coil 1), covered stent 3). Postprocedural residual demonstrated eight. In not appreciable 1‐year follow‐up. No patient experienced or related symptom recurrence follow‐up: 33.4 29.5 months). Complications one death secondary to ventricular arrhythmia 2 days after PVB inferior SVB resolution following placement. Conclusions repair effective likely safer than surgical intervention. can be safely accomplished but common short term. © 2012 Wiley Periodicals Inc.