PMC9720738_01
CT-scan showing occlusion of central aorto-pulmonary shunt.
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F2
Echocardiography and CT angiography showed shunt occlusion with thrombus formation (Figure 2).
Angiographic view of the occluded shunt (arrow) before intervention.
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F3
The angiogram showed the occluded shunt without flow (Figure 3). The obstruction was crossed using a coronary chronic total occlusion 0.014" Conquest pro (Asahi Intecc.) wire.
Angiographic view of the shunt (arrow) after a successful recanalization with stent placement, which shows revascularized shunt with filling of pulmonary artery vasculature.
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F4
The stenting was successfully proceeded with another 9 mm balloon expandable stent that was delivered from left femoral artery (Figure 4).
The chest X-ray on the 1 day after stent implantation. The red rectangle showed stent in the central shunt that places in a proper location without mispositioning.
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F5
Control echocardiography and chest X-ray on the following day showed the correct stent position (Figure 5).