Open Access

CASE REPORT

Late Embolization of a Ductal Stent in Pulmonary Atresia with Intact Ventricular Septum Successfully Managed by Urgent Central Shunt Reconstruction: A Case Report

Ricardo Garcia-Mora¹, Gunther Hernández-Morales², Miguel Ángel Chagolla-Santillán³, Iliana Acevedo-Bañuelos³, Jorge Luis Cervantes-Salazar⁴, Edel Rafael Rodea-Montero^5,*

1 Department of Pediatric and Congenital Heart Surgery, Hospital Regional de Alta Especialidad del Bajío, Servicios de Salud del Instituto Mexicano del Seguro Social para el Bienestar (IMSS-BIENESTAR), León, Mexico
2 Department of Pediatric Cardiology, Hospital Regional de Alta Especialidad del Bajío, Servicios de Salud del Instituto Mexicano del Seguro Social para el Bienestar (IMSS-BIENESTAR), León, Mexico
3 Department of Cardiothoracic Surgery, Hospital Regional de Alta Especialidad del Bajío, Servicios de Salud del Instituto Mexicano del Seguro Social para el Bienestar (IMSS-BIENESTAR), León, Mexico
4 Department of Pediatric Cardiac and Congenital Heart Surgery, Instituto Nacional de Cardiología Ignacio Chávez, Ciudad de México, Mexico
5 Department of Research, Hospital Regional de Alta Especialidad del Bajío, Servicios de Salud del Instituto Mexicano del Seguro Social para el Bienestar (IMSS-BIENESTAR), León, Mexico

* Corresponding Authors: Edel Rafael Rodea-Montero. Email: ,

Structural and Congenital Heart Disease 2026, 21(1), 6 https://doi.org/10.32604/schd.2026.071470

Received 06 August 2025; Accepted 18 March 2026; Issue published 31 March 2026

Abstract

We report a full-term newborn with pulmonary atresia with an intact ventricular septum who developed acute hypoxemia after ductal stent embolization. Emergency surgery was performed to remove the stent and create a central systemic-to-pulmonary shunt using a 3.5 mm GORE-TEX^® graft via a modified Gates, Laks, and Johnson technique. Postoperative recovery was favorable. At 24 months, the shunt remained patent with adequate pulmonary artery growth. This case underscores prompt surgical rescue and supports central shunting as an effective mid-term solution.

---

Keywords

---