Stenting of bilateral arterial ducts in complex congenital heart disease

被引:16
作者
Santoro, Giuseppe [1 ]
Caianiello, Giuseppe [2 ]
Russo, Maria Giovanna [1 ]
Calabro, Raffaele [1 ]
机构
[1] Univ Naples 2, Div Cardiol, Naples, Italy
[2] Univ Naples 2, Div Paediat Cardiac Surg, Naples, Italy
关键词
congenital heart disease; patent arterial duct; stent; cyanosis;
D O I
10.1007/s00246-007-9184-x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:842 / 845
页数:4
相关论文
共 12 条
[1]  
BARBEROMARCIAL M, 1988, J THORAC CARDIOV SUR, V95, P82
[2]   PREVALENCE OF BILATERAL PATENT DUCTUS-ARTERIOSUS IN PATIENTS WITH PULMONIC VALVE ATRESIA AND ASPLENIA SYNDROME [J].
FORMIGARI, R ;
VAIRO, U ;
DEZORZI, A ;
SANTORO, G ;
MARINO, B .
AMERICAN JOURNAL OF CARDIOLOGY, 1992, 70 (13) :1219-1220
[3]   BILATERAL DUCTUS-ARTERIOSUS (OR REMNANT) - AN ANALYSIS OF 27 PATIENTS [J].
FREEDOM, RM ;
MOES, CAF ;
PELECH, A ;
SMALLHORN, J ;
RABINOVITCH, M ;
OLLEY, PM ;
WILLIAMS, WG ;
TRUSLER, GA ;
ROWE, RD .
AMERICAN JOURNAL OF CARDIOLOGY, 1984, 53 (07) :884-891
[4]   Bilateral branch pulmonary artery obstruction due to kinking at insertion sites of bilateral ductus arteriosus [J].
McElhinney, DB ;
Reddy, VM ;
Moore, P ;
Hanley, FL .
ANNALS OF THORACIC SURGERY, 1997, 64 (02) :537-539
[5]  
Park IS, 1997, TEX HEART I J, V24, P384
[6]   Staged rehabilitation of ductal origin of the left pulmonary artery in an infant Fallot's tetralogy [J].
Peirone, A ;
Lee, KJ ;
Yoo, SJ ;
Musewe, N ;
Smallhorn, J ;
Benson, L .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2003, 59 (03) :392-395
[7]   Echocardiographic evaluation, management and outcomes of bilateral arterial ducts and complex congenital heart disease: 16 years' experience [J].
Peirone, A ;
Abdullah, MM ;
Dicke, F ;
Freedom, RM ;
Smallhorn, J .
CARDIOLOGY IN THE YOUNG, 2002, 12 (03) :272-277
[8]  
Santoro G, 2005, TEX HEART I J, V32, P102
[9]  
SANTORO G, 2007, HEART, V30
[10]   Outcome after reconstruction of discontinuous pulmonary arteries [J].
Stamm, C ;
Friehs, I ;
Zurakowski, D ;
Scheule, AM ;
Moran, AM ;
Lock, JE ;
Mayer, JE ;
del Nido, PJ ;
Jonas, RA .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2002, 123 (02) :246-257