Key result
Urgent RVOT stenting restores pulmonary blood flow and stabilizes complications, increasing oxygen saturation to 92%.
Why the study?
Uncorrected adult congenital heart disease presenting with profound hypoxia and dual risks of thrombosis and bleeding poses major challenges for definitive surgical repair.
Case Report (n=1)
No
Urgent RVOT stenting can serve as a feasible, life-saving palliative option in high-risk adults with uncorrected cyanotic congenital heart disease, effectively restoring pulmonary blood flow and stabilizing thrombotic and bleeding complications.
May offer a rescue option in select unstable adult CHD cases; leaves open the need for prospective validation before wider use.
Background Uncorrected adults congenital heart disease (ACHD) may present with profound hypoxia and dual risks of thrombosis and bleeding, posing major challenges for definitive surgical repair. In such settings, right ventricular outflow tract (RVOT) stenting may provide a life-saving palliative option. Case presentation We report a 30-year-old woman with double-outlet right ventricle, subaortic ventricular septal defect, and severe infundibular pulmonary stenosis who suffered cardiac arrest due to profound hypoxia. Her clinical profile was complicated by polycythemia, upper extremity deep vein thrombosis, and active gastrointestinal bleeding. In light of prohibitive surgical risk, urgent RVOT stenting was undertaken, requiring multiple technical adaptations due to severe obstruction. Post-procedure, oxygen saturation improved to 92%, gastrointestinal bleeding ceased, and deep vein thrombosis regressed without anticoagulation. She subsequently completed phase II cardiac rehabilitation with improved functional capacity. Conclusion Urgent RVOT stenting can serve as a feasible therapeutic option in high-risk ACHD patients, effectively restoring pulmonary blood flow while simultaneously stabilizing thrombotic and bleeding complications.
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Ardining et al. (2026) conducted a case report in Uncorrected adult cyanotic congenital heart disease (DORV, VSD, severe PS) (n=1). Urgent right ventricular outflow tract (RVOT) stenting was evaluated on Oxygen saturation. Urgent right ventricular outflow tract stenting successfully restored pulmonary blood flow, increasing oxygen saturation to 92% and stabilizing thrombotic and bleeding complications.
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