Combined Treatment for Multiple Cardiac Defects with Interventional Techniques
| Autor: | Sohail Abraar Khan, Fateh Ali Tipu, Mehnaz Atiq, Zahid Amin |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Heart Defects
Congenital Male Aortic valve Cardiac Catheterization congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Heart Valve Diseases Balloon Catheterization Ductus arteriosus Internal medicine medicine Humans Abnormalities Multiple cardiovascular diseases Child Ductus Arteriosus Patent Interventional cardiology business.industry Heart Septal Defects Infant Prostheses and Implants Vascular surgery medicine.disease Cardiac surgery Surgery Stenosis medicine.anatomical_structure Child Preschool Pulmonary valve Pediatrics Perinatology and Child Health cardiovascular system Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Pediatric Cardiology. 29:890-893 |
| ISSN: | 1432-1971 0172-0643 |
| DOI: | 10.1007/s00246-008-9223-2 |
| Popis: | Multiple congenital cardiac defects are usually addressed by cardiac surgery. We present our experience with simultaneous transcatheter treatment of multiple defects in children. Ten children, six females and four males, with multiple defects underwent treatment with interventional technique. The mean age was 4.4 +/- 2.6 years (range, 7 months to 8 years). The cardiac diagnosis was patent ductus arteriosus (PDA) and valvular pulmonary stenosis (PS) in two, atrial septal defect (ASD) and PDA in two, ASD and PS in two, PDA and aortic stenosis (AS) in three (severe left ventricular dysfunction in two), and perimembranous ventricular septal defect (VSD) and valvular PS in one. The ASDs were closed with an Amplatzer septal occluder (mean size, 16 +/- 4 mm), four PDAs were closed with an Amplatzer duct occluder, and three with a Cook's detectable coil. Mean balloon size used to dilate the pulmonary valve was 18 +/- 4 mm, and for the aortic valve this was 12 +/- 2 mm. There was a 70% (+/-15%) postprocedure reduction of gradients across the stenotic valves. The closure rate was 75% for PDAs in the catheterization laboratory, 80% for ASDs, and there was a mild residual intradevice leak in the VSD. In conclusion, interventional technology addressing multiple congenital cardiac defects as a combined procedure in the catheterization laboratory is safe and effective. |
| Databáze: | OpenAIRE |
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