Autor: |
Arturo Hernández de Bonis, and Felipe Gómez Martín, Federico Gutiérrez-Larraya Aguado, Diana Salas-Mera, César Abelleira Pardeiro, David Ortega Martínez |
Rok vydání: |
2021 |
Předmět: |
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Zdroj: |
REC: Interventional Cardiology (English Ed.), Vol 3, Iss 3, Pp 227-228 (2021) |
ISSN: |
2604-7322 |
DOI: |
10.24875/recice.m20000188 |
Popis: |
CASE PRESENTATION Premature baby born by emergency caesarian section after 27 + 5 weeks of pregnancy due to premature rupture of membranes and umbilical cord prolapse. The patient's body weight at birth was 990 grams. The prenatal ultrasounds performed all looked normal. The patient required intubation and mechanical ventilation on his 6th hour of life due to hyaline membrane disease. After the 24th hour of life, the functional echocardiogram performed revealed the presence of a 2.4 mm ductus arteriosus with left-to-right shunt. It was decided to start an ibuprofen cycle for pharmacological closure. Pressure curve damping in the umbilical artery, arm-leg blood pressure gradient, and lack of femoral pulse palpation were seen after the first dose. After discussion with the heart team aortic the presence of coarctation was confirmed with distal arch hypoplasia, and a 1 mm ductus arteriosus. It was decided to start the IV infusion of prostaglandins. The patient was transferred to our center on his 59th hour of life. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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