Failure of cutting balloon angioplasty to prevent restenosis in childhood pulmonary venous stenosis

Colin J. McMahon, Michael McDermott, Kevin P. Walsh

Our Lady’s Hospital for Sick Children.
Ireland

Catheterization and Cardiovascular Interventions
Catheter Cardiovasc Interv 2006; 68: 763-766
DOI: 10.1002/ccd.20792

Abstract
We describe bilateral pulmonary vein stenosis in a 5-year-old boy. He initially presented with haemoptysis secondary to left upper lobe pulmonary vein atresia and left lower lobe stenosis and subsequently he underwent left-sided pneumonectomy. He underwent repeat cardiac catheterizations with repeated balloon angioplasty of the right-sided venous stenoses using a cutting balloon. Despite satisfactory initial results the pulmonary venous stenosis reoccurred as early as 2 months following balloon angioplasty. Although cutting balloon angioplasty has demonstrated effective immediate alleviation of pulmonary venous stenosis its utility in providing sustained improvement in pulmonary vein stenosis is limited.

Category
Stenosis or Obstruction of Normal Pulmonary Venous Connections
Absence or Atresia of Normal Pulmonary Venous Connections
Surgical Interventions for Pulmonary Venous Obstruction After the Onset of Disease
Catheter-mediated Interventions: Efficacy or Lack of Efficacy

Year of Publication: 2006

Age Focus: Pediatric

Article Type: Case Reports or Retrospective Observations in Small Groups of Patients (≤10 patients)

Article Access: Free PDF File or Full Text Article Available Through PubMed or DOI: No