Banding of a patent arterial duct to palliate complete transposition in a compromised neonate.
In a hemodynamically compromised neonate with complete transposition and intact ventricular septum (concordant atrioventricular and discordant ventriculo-arterial connections), it became necessary to control severe congestive heart failure. The arterial switch operation had been delayed because of intracranial bleeding and subsequent coagulopathy. The cardiac failure was reversed by surgical banding of the patent arterial duct. The arterial switch was performed successfully one week later.
Drummond-Webb
J J
JJ
Center for Pediatric and Congenital Heart Surgery, Cleveland Clinic Foundation, Ohio 44195-5066, USA. drummoj@ccf.org
Imamura
M
M
Mee
R B
RB
D006348:Cardiac Surgical Procedures / Q000379:methods*; D016638:Critical Illness; D004374:Ductus Arteriosus, Patent / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006333:Heart Failure / Q000517:prevention & control*; D006801:Humans; D007231:Infant, Newborn; D008026:Ligation / Q000379:methods; D008297:Male; D010166:Palliative Care / Q000379:methods*; D012086:Reoperation; D013997:Time Factors; D014188:Transposition of Great Vessels / Q000175:diagnosis; D016896:Treatment Outcome