Bilateral branch pulmonary artery stenting in a postoperative Modified Nikaidoh procedure

Mid-term follow-up studies following modified Nikaidoh procedure done for Transposition of great arteries (TGA) with ventricular septal defect (VSD) with pulmonary stenosis (PS) showed that majority of the reoperations are in the form of conduit replacement either due to conduit stenosis or regurgitation. Bilateral branch pulmonary artery (PA) stenosis following Nikaidoh procedure is very rare. We are reporting a case of TGA, VSD with PS with borderline branch PAs who underwent modified Nikaidoh procedure and developed severe bilateral branch PA stenosis during early postoperative period. The patient was managed successfully with bilateral branch PA stenting.