¹Jean Claude Ambassa

Authors’ affiliations:

1. Division of Cardiac Surgery, Shisong Cardiac Center, Kumbo, Cameroon

History :

• Two years old , male patient.
• Severe cyanosis at birth (Sato2  50%).
• Failure to thrive.

Physical examination :

• Severe cyanosis  50% sato2
• Bilateral pulmonary ventilation
• Peripheral pulses well perceptible.            

E.C.G : Sinusal rythmn.Biventricular hypertrophy with predominantly right.

T.T.E : Situs ambigus. Left isomerism.Azygos continuation.Univentricular heart with atretic pulmonary artery.PDA? or M.A.P.C.A.S  ?

Angiography :  Left isomerism with azygos continuation.univentricular heart with predominant right ventricle, atretic pulmonary artery.Right aortic arch.Evidence of separate P.D.As perfusing the left and right pulmonary arteries branches.Severe stenosis of the left PDA.

Intended procedure :  Percutaneous stenting of the left patent ductus arterious using a Bare Metal Stent.

Learning points :

• Stenting of PDA attractive to non surgical palliative alternative option to surgical aorto- pulmonary shunts.
• Safety of the procedure in a Center with limited ressources.