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Hoarseness after pulmonary arterial stenting and occlusion of the arterial duct

  • Mervat Assaqqat (a1), Ghassan Siblini (a1) and Fadel Al Fadley (a1)

We report a 12-year-old girl who had multiple congenital cardiac lesions, specifically an arterial duct, left pulmonary arterial stenosis, an atrial septal defect in the oval fossa, and mild Ebstein's malformation of the tricuspid valve. Therapeutic transcatheter intervention was performed to stent the left pulmonary artery, occlude the arterial duct with a coil, and place a device to close the atrial septal defect. Subsequent to the catheterization, she complained of hoarseness, which was shown to be due to entrapment of the left recurrent laryngeal nerve between the coil used to close the arterial duct and the stent placed in the left pulmonary artery. Laryngoscopy confirmed paralysis of the recurrent laryngeal nerve.

Corresponding author
Correspondence to: Dr Fadel Al Fadley, Chairman, Department of Cardiovascular Diseases, MBC 16, King Faisal Heart Center, King Faisal Specialist Hospital and Research Center, PO Box 3354, Riyadh, 11211, Saudi Arabia. Tel: 00-966-1 4647272 ext 32056; Fax: 00-966-1 4427482; E-mail:
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Cardiology in the Young
  • ISSN: 1047-9511
  • EISSN: 1467-1107
  • URL: /core/journals/cardiology-in-the-young
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