Skip to main content
Erschienen in: Pediatric Cardiology 4/2008

01.07.2008 | Case Report

Stenting of Bilateral Arterial Ducts in Complex Congenital Heart Disease

verfasst von: Giuseppe Santoro, Giuseppe Caianiello, Maria Giovanna Russo, Raffaele Calabrò

Erschienen in: Pediatric Cardiology | Ausgabe 4/2008

Einloggen, um Zugang zu erhalten

Abstract

Bilateral arterial ducts serving nonconfluent pulmonary arteries is a very rare pattern of pulmonary blood flow in congenital heart disease with pulmonary atresia. In this setting, neonatal ductal closure might result in abrupt pulmonary hypoperfusion and life-threatening systemic hypoxia, thereby indicating emergent surgical palliation or repair. However, percutaneous arterial duct stenting might be an alternative to surgery, especially in high-risk patients. This article reports on two critical neonates with complex heart disease and discontinuous pulmonary arteries dependent on bilateral arterial ducts who successfully underwent transcatheter ductal stenting as first-step palliation toward lower-risk corrective surgery.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Barbero-Marcial M, Atik E, Baucia J, Pradel H, Macruz R, Jatene A (1988) Reconstruction of the stenotic or nonconfluent pulmonary arteries simultaneously with a Blalock-Taussig shunt. J Thorac Cardiovasc Surg 95:82–89PubMed Barbero-Marcial M, Atik E, Baucia J, Pradel H, Macruz R, Jatene A (1988) Reconstruction of the stenotic or nonconfluent pulmonary arteries simultaneously with a Blalock-Taussig shunt. J Thorac Cardiovasc Surg 95:82–89PubMed
2.
Zurück zum Zitat Formigari R, Vairo U, Santoro G, De Zorzi A, Marino B (1992) Prevalence of bilateral patent ductus arteriosus in patients with pulmonic atresia and asplenic syndrome. Am J Cardiol 70(13):1219–1220PubMedCrossRef Formigari R, Vairo U, Santoro G, De Zorzi A, Marino B (1992) Prevalence of bilateral patent ductus arteriosus in patients with pulmonic atresia and asplenic syndrome. Am J Cardiol 70(13):1219–1220PubMedCrossRef
3.
Zurück zum Zitat Freedom RM, Moes CA, Pelech A, et al. (1984) Bilateral ductus arteriosus (o remnant): an analysis of 27 patients. Am J Cardiol 53(7):884–891PubMedCrossRef Freedom RM, Moes CA, Pelech A, et al. (1984) Bilateral ductus arteriosus (o remnant): an analysis of 27 patients. Am J Cardiol 53(7):884–891PubMedCrossRef
4.
Zurück zum Zitat McElhinney DB, Reddy VM, Moore P, Hanley FL (1997) Bilateral branch pulmonary artery obstruction due to kinking at insertion sites of bilateral ductus arteriosus. Ann Thorac Surg 64:537–539PubMedCrossRef McElhinney DB, Reddy VM, Moore P, Hanley FL (1997) Bilateral branch pulmonary artery obstruction due to kinking at insertion sites of bilateral ductus arteriosus. Ann Thorac Surg 64:537–539PubMedCrossRef
5.
Zurück zum Zitat Park IS, Kim YH, Ko JK (1997) Bilateral patent ductus arteriosus and non-confluent pulmonary arteries in neonates. Tex Heart Inst J 24(4):384–385PubMed Park IS, Kim YH, Ko JK (1997) Bilateral patent ductus arteriosus and non-confluent pulmonary arteries in neonates. Tex Heart Inst J 24(4):384–385PubMed
6.
Zurück zum Zitat Peirone A, Mustafa MA, Dicke F, Freedom RM, Smallhorn J (2002) Echocardiographic evaluation, management and outcomes of bilateral arterial ducts and complex congenital heart disease: 16 years experience. Cardiol Young 12:272–277PubMedCrossRef Peirone A, Mustafa MA, Dicke F, Freedom RM, Smallhorn J (2002) Echocardiographic evaluation, management and outcomes of bilateral arterial ducts and complex congenital heart disease: 16 years experience. Cardiol Young 12:272–277PubMedCrossRef
7.
Zurück zum Zitat Peirone A, Lee KJ, Yoo SJ, Musewe N, Smallhorn J, Benson L (2003) Staged rehabilitation of ductal origin of the left pulmonary artery in an infant Fallot’s tetralogy. Catheter Cardiovasc Intervent 59:392–395CrossRef Peirone A, Lee KJ, Yoo SJ, Musewe N, Smallhorn J, Benson L (2003) Staged rehabilitation of ductal origin of the left pulmonary artery in an infant Fallot’s tetralogy. Catheter Cardiovasc Intervent 59:392–395CrossRef
8.
Zurück zum Zitat Santoro G, Gaio G, Palladino MT, et al. (2007) Stenting of the arterial duct in newborns with duct-dependent pulmonary circulation. Heart (published online first: July 30, 2007). Doi: 10.1136/hrt.2007.123000 Santoro G, Gaio G, Palladino MT, et al. (2007) Stenting of the arterial duct in newborns with duct-dependent pulmonary circulation. Heart (published online first: July 30, 2007). Doi: 10.​1136/​hrt.​2007.​123000
9.
Zurück zum Zitat Santoro G, Cappelli Bigazzi M, Palladino MT, Russo MG, Carrozza M, Calabrò R (2005) Transcatheter palliation of tetralogy of Fallot with pulmonary artery discontinuity. Tex Heart Inst J 32(1):102–104PubMed Santoro G, Cappelli Bigazzi M, Palladino MT, Russo MG, Carrozza M, Calabrò R (2005) Transcatheter palliation of tetralogy of Fallot with pulmonary artery discontinuity. Tex Heart Inst J 32(1):102–104PubMed
10.
Zurück zum Zitat Stamm C, Friehs I, Zurakowski D, et al. (2002) Outcome after reconstruction of discontinuous pulmonary arteries. J Thorac Cardiovasc Surg 123:246–257PubMedCrossRef Stamm C, Friehs I, Zurakowski D, et al. (2002) Outcome after reconstruction of discontinuous pulmonary arteries. J Thorac Cardiovasc Surg 123:246–257PubMedCrossRef
11.
Zurück zum Zitat Texter K, Shah A, Carlson K, Dickerson H, McKenzie ED, Justino H (2007) Persistence of bilateral arterial ducts in pulmonary atresia despite confluent branch pulmonary arteries: opportunity for two percutaneous therapeutic alternatives. Cathet Cardiovasc Intervent 70:290–295CrossRef Texter K, Shah A, Carlson K, Dickerson H, McKenzie ED, Justino H (2007) Persistence of bilateral arterial ducts in pulmonary atresia despite confluent branch pulmonary arteries: opportunity for two percutaneous therapeutic alternatives. Cathet Cardiovasc Intervent 70:290–295CrossRef
12.
Zurück zum Zitat Trivedi KR, Karamlou T, Yoo SJ, Williams WG, Freedom RM, McCrindle BW (2006) Outcomes in 45 children with ductal origin of the distal pulmonary artery. Ann Thorac Surg 81:950–957PubMedCrossRef Trivedi KR, Karamlou T, Yoo SJ, Williams WG, Freedom RM, McCrindle BW (2006) Outcomes in 45 children with ductal origin of the distal pulmonary artery. Ann Thorac Surg 81:950–957PubMedCrossRef
Metadaten
Titel
Stenting of Bilateral Arterial Ducts in Complex Congenital Heart Disease
verfasst von
Giuseppe Santoro
Giuseppe Caianiello
Maria Giovanna Russo
Raffaele Calabrò
Publikationsdatum
01.07.2008
Verlag
Springer-Verlag
Erschienen in
Pediatric Cardiology / Ausgabe 4/2008
Print ISSN: 0172-0643
Elektronische ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-007-9184-x

Weitere Artikel der Ausgabe 4/2008

Pediatric Cardiology 4/2008 Zur Ausgabe

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.