Abstract
Case report of a 15‐year‐old white male with complex cyanotic heart disease and multiple cardiac surgery including bilateral modified Blalock‐Taussig shunt. The patient developed worsening cyanosis and exercise intolerance for the last several months. He underwent percutaneous balloon angioplasty and placement of a PS 204 Palmaz‐Schatz balloon expandable stent for correction of severe stenosis at the junction of the right subclavian artery and a 6‐mm interposition Gore‐Tex graft. Since he was not a candidate for definitive surgery, this palliative procedure was performed to avoid repeat thoracotomy and to provide long‐term relief of the stenosis. Stent placement in children can be challenging due to vascular access and complex anatomy. We suggest long‐term follow‐up to validate the success of this procedure.
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