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Case Reports
. 2007 Jul-Aug;30(4):782-5.
doi: 10.1007/s00270-007-9009-6.

Pulmonary arterial stent implantation in an adult with Williams syndrome

Affiliations
Case Reports

Pulmonary arterial stent implantation in an adult with Williams syndrome

Herre J Reesink et al. Cardiovasc Intervent Radiol. 2007 Jul-Aug.

Abstract

We report a 38-year-old patient who presented with pulmonary hypertension and right ventricular dysfunction due to pulmonary artery stenoses as a manifestation of Williams syndrome, mimicking chronic thromboembolic pulmonary hypertension. The patient was treated with balloon angioplasty and stent implantation. Short-term follow-up showed a good clinical result with excellent patency of the stents but early restenosis of the segments in which only balloon angioplasty was performed. These stenoses were subsequently also treated successfully by stent implantation. Stent patency was observed 3 years after the first procedure.

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Figures

Fig. 1
Fig. 1
A Digital subtraction angiogram of the right pulmonary artery (oblique view) before treatment, demonstrating stenoses at the origin of the right superior lobe trunk, the middle lobe artery, and the lower lobe trunk (arrows). B Digital subtraction angiogram of the left pulmonary artery (oblique view) before treatment, demonstrating occlusion of the left upper lobe and multiple stenoses in the segmental branches of the lower lobe artery (arrows)
Fig. 2
Fig. 2
A Sagittal-oblique thick maximum intensity projection image of the multislice computed tomography angiogram (slice thickness 10 mm) before treatment, showing the stenotic right middle lobe artery (arrowhead). B Repeat computed tomography 6 months after stent placement in the right middle lobe artery in the same projection as in A
Fig. 3
Fig. 3
A, B Digital subtraction angiogram of the right A and left B pulmonary artery (oblique view) 3 years after the initial stenting procedure, showing excellent patency of the stents in the right upper, middle and lower lobe arteries and in the left lower lobe arteries (arrows)

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