Persistent hemolysis after transcatheter occlusion of a patent ductus arteriosus: surgical ligation of the duct over the occlusion device.
A 14-month-old child underwent routine transcatheter closure of her patent ductus arteriosus (PDA) using the Rashkind double-umbrella device. She developed severe persistent hemolysis in association with residual ductal flow. The problem was managed by the previously unreported approach of standard surgical ligation of the duct via a left thoracotomy, leaving the occlusion device in situ.
Chisholm
J C
JC
Wessex Cardiac and Thoracic Center, Southampton General Hospital, United Kingdom.
Salmon
A P
AP
Keeton
B R
BR
Webber
S A
SA
Monro
J L
JL
D006328:Cardiac Catheterization / Q000009:adverse effects / Q000295:instrumentation; D004373:Ductus Arteriosus / Q000000981:diagnostic imaging / Q000601:surgery*; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D004452:Echocardiography; D005260:Female; D006461:Hemolysis; D006801:Humans; D007223:Infant; D008026:Ligation / Q000379:methods; D011183:Postoperative Complications / Q000503:physiopathology*