Oval stenting in left pulmonary artery stenosis: a novel double balloon technique to prevent airway compression in single ventricle

EuroIntervention Journal

Left pulmonary artery (LPA) stenosis is common in patients with cavopulmonary connections. Stent implantation is the treatment of choice but may be complicated or contraindicated by left main bronchus (LMB) compression due to limited retro-aortic space after a Damus-Kaye-Stansel (DKS) or Norwood operation. This study describes a novel double balloon technique of LPA stenting in patients at risk of LMB compression.

A cohort study was performed in 11 patients who underwent LPA stenting with an oval stent technique between 2015 and 2018. Retro-aortic anatomy was evaluated periprocedurally by three-dimensional rotational angiography (3DRA).

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Authors

G. J. Krings, F. van der Stelt, M. M.C. Molenschot, J. M.P.J. Breur