Patent Ductus Arteriosus Banding for Circular Shunting After Pulmonary Valvuloplasty
| Autor: | Javier Rodríguez-Fanjul, Julio Moreno Hernando, Javier Mayol, Carles Bautista-Rodriguez, Jose María Caffarena-Calvar |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Balloon Valvuloplasty
Male medicine.medical_specialty Cardiac output Cardiac Output Low 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Internal medicine Ductus arteriosus Humans Medicine Pulmonary blood flow Cardiac Surgical Procedures Ductus Arteriosus Patent Ligation Pulmonary Valve business.industry Infant Newborn General Medicine medicine.disease Surgery Pulmonary Valve Stenosis Shunting Stenosis medicine.anatomical_structure Ventricle Shock (circulatory) Pulmonary valve Pediatrics Perinatology and Child Health Cardiology Female medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | World Journal for Pediatric and Congenital Heart Surgery. 8:643-645 |
| ISSN: | 2150-136X 2150-1351 |
| DOI: | 10.1177/2150135116655122 |
| Popis: | We report two cases of newborns with critical pulmonary stenosis having intact ventricular septum, who underwent pulmonary valve balloon valvuloplasty followed by banding of a patent ductus arteriosus. Transcatheter pulmonary valvuloplasty was performed one week after delivery. Following the procedure, both developed “circular shunting” as a consequence of left-to-right ductal flow and pulmonary regurgitation. This in turn caused increased blood flow into a dysfunctional right ventricle and low systemic cardiac output syndrome. The PDA banding was performed urgently as a rescue measure in order to restore systemic flow while still maintaining some duct-dependent pulmonary blood flow. This approach resolved the circular shunting. Outcome was favorable in both the patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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