Stent implantation for superior vena cava occlusion after the Mustard operation.

A 25-year-old man who had undergone a Mustard repair for complete transposition of the great arteries 21 years previously developed complete occlusion of the superior vena cava and obstruction of the inferior vena cava. Transcatheter recanalization was performed using needle puncture of the superior obstruction followed by stent implantation into both systemic venous pathways with relief of obstructive symptoms.