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

来源：

PEDIATRIC CARDIOLOGY | 2008年 / 29卷 / 04期

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

页码：842 / 845

页数：4

共 12 条

[11] Persistence of bilateral arterial ducts in pulmonary atresia despite confluent branch pulmonary arteries: Opportunity for two percutaneous therapeautic alternatives [J].