Bilateral arterial duct 'stenting' in a low-weight neonate with complex congenital heart defect.
Bilateral arterial ducts feeding discontinuous pulmonary arteries are a very rare anatomic arrangement in complex heart malformations with pulmonary atresia. In this setting, neonatal ductal closure may result in abrupt pulmonary hypoperfusion and life-threatening systemic hypoxia. In high-risk patients, percutaneous arterial duct stenting might be an engaging and cost-effective alternative to surgery. This paper reports on a critical low-weight neonate with complex heart disease and discontinuous pulmonary arteries dependent on bilateral arterial ducts who underwent successful transcatheter ductal stenting as an alternative to a high-risk surgical palliation.
Santoro
Giuseppe
G
Division of Cardiology, 2nd University of Naples, Naples, Italy. santoropino@tin.it
Caianiello
Giuseppe
G
Carrozza
Marianna
M
Palladino
Maria Teresa
MT
Russo
Maria Giovanna
MG
Calabrò
Raffaele
R
D006328:Cardiac Catheterization; D004374:Ductus Arteriosus, Patent / Q000000981:diagnostic imaging / Q000628:therapy*; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D052577:Infant, Extremely Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D011859:Radiography; D015607:Stents