Gradual angioplasty and stenting can successfully treat complete superior vena cava occlusion late after a Mustard procedure.
Supports endovascular recanalization for late post-Mustard SVC occlusion; leaves open durability and generalizability.
A 16-year-old male was admitted with complete occlusion of the superior vena cava pathway 14 years after Mustard procedure for transposition of the great arteries. From a left subclavian vein approach, the atretic vein segment was perforated using a straight guidewire, and was followed by sequential balloon dilation. Implantation of a 30 mm Palmaz-stent through a femoral vein approach resulted in a widely patent channel of the vena cava superior into the systemic venous atrium.
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Schranz et al. (1996) studied this question.
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