# Successful Stent Implantation Into the Patent Ductus Arteriosus in Complex Cyanotic Congenital Heart Disease

## TL;DR

A 10-month-old girl with a complex heart defect had a stent implanted successfully, improving her blood oxygen levels and recovery.

## Contribution

This case demonstrates successful stent implantation in a rare and complex congenital heart condition.

## Key findings

- Stent deployment improved the patient's oxygen saturation and allowed extubation during the procedure.
- The patient was discharged on the third postoperative day with a follow-up plan.
- The procedure used a coronary wire and a 4 × 16 mm stent for patent ductus arteriosus.

## Abstract

Birth-associated structural issues with the heart are known as congenital heart disorders or defects. They might alter the heart’s regular blood flow. A 10-month-old female child presented to a tertiary care hospital with symptoms of recurrent cyanotic spells with episodes of desaturation a few months after birth. ECG findings depicted a normal sinus rhythm with a right axis deviation along the right ventricular forces. Two-dimensional echocardiography showed a tetralogy of Fallot with pulmonary atresia with a patent ductus arteriosus from the undersurface of the arch with confluent small pulmonary arteries. A coronary wire was passed through the left subclavian artery, and a 4 × 16 mm stent was deployed successfully. After the procedure, the patient’s saturation improved, and she was extubated on the table. The patient was on heparin for 24 hours and was started on oral aspirin thereafter. This case was discharged on the third postoperative day and was advised to follow up.