Superior vena cava stenting guided by alternative imaging modalities in a patient with severe contrast allergy: a case report and brief literature review.

Priya Pillutla, Leigh C Reardon, Jamil A Aboulhosn

Journal: Congenital heart disease 2015;9(5):E143-6

PMID: 23809256

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Abstract

Major adverse reactions to iodinated radiocontrast media are an uncommon but serious complication of cardiac catheterizations. We present a case of a 52-year-old woman with a sinus venosus atrial septal defect and partial anomalous pulmonary venous connection status post repair who presented with superior vena cava graft obstruction. Two overlapping stents were placed within the superior vena cava using gadolinium, CO2 angiography and transesophageal echocardiography for visualization of the graft stenoses. No iodinated media were used.

Address: Department of Medicine, Division of Cardiology, Harbor-UCLA Medical Center, Torrance, Cal, USA.

DOI: 10.1111/chd.12111

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MeSH Terms: Abnormalities, Multiple, Anaphylaxis, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation, Carbon Dioxide, Contrast Media, Echocardiography, Doppler, Color, Echocardiography, Doppler, Pulsed, Echocardiography, Transesophageal, Endovascular Procedures, Female, Graft Occlusion, Vascular, Heart Septal Defects, Atrial, Humans, Middle Aged, Phlebography, Predictive Value of Tests, Pulmonary Veins, Reoperation, Risk Factors, Stents, Superior Vena Cava Syndrome, Ultrasonography, Interventional, Vena Cava, Superior