Novel use of the double kissing crush technique to stent complex pulmonary artery stenosis in a child with Alagille syndrome

Danielle D. Strah, Riley D. Hellinger, Kwan S. Lee, Michael D. Seckeler
University of Arizona. Rady Children’s Hospital.
United States

Annals of Pediatric Cardiology
Ann Pediatr Cardiol 2023; 6: 290-292
DOI: 10.4103/apc.apc_60_23

Abstract
Coronary bifurcation lesions and treatment with two-stent techniques have been developed, including the double kissing (DK) crush technique. The use of this technique in children or noncoronary vessels, including pulmonary arteries, has not been described. We present a 12-year-old girl with Alagille syndrome, a ventricular septal defect (VSD), and complex bilateral pulmonary artery (PA) stenoses who is status post six catheterizations for PA angioplasty and stenting to improve her marked right ventricular hypertension. With collaboration between the congenital and structural teams, she successfully underwent the DK crush technique for a complex lesion in her PA. This improved pulmonary flow and allowed for successful surgical VSD closure.

Category
Segmental Pulmonary Arterial Disease
Surgical and Catheter-mediated Interventions for Pulmonary Vascular Disease

Age Focus: Pediatric Pulmonary Vascular Disease

Fresh or Filed Publication: Filed (PHiled). Greater than 1-2 years since publication

Article Access
Free PDF File or Full Text Article Available Through PubMed or DOI: Yes

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