[Closure of major aorto-pulmonary collateral artery with the Amplatzer vascular plug in an infant with pulmonary atresia and ventricular septal defect - a difficult therapeutic problem].
A case of a 2-day-old newborn with congenital heart disease, pulmonary atresia and ventricular septal defect is described. The Blalock-Taussig shunt was created 6 days after birth. After the procedure, the newborn developed symptoms of increased pulmonary blood flow and respiratory distress. We decided to close one of the major aortopulmonary collateral arteries with the Gianturco coil on the 41st day after birth, however the results were not satisfactory. On the 66th day of infant life (by that time the patient weighted 3 kg), another procedure with the Amplatzer vascular plug was performed. This procedure was successful. After a few days the infant was discharged from hospital.
Pawelec-Wojtalik
Małgorzata
M
Katedra Pediatrii, Uniwersytet Medyczny w Poznaniu. mpwojt@poczta.onet.pl
Mroziński
Bartłomiej
B
Westerski
Przemysław
P
Wojtalik
Michał
M
Bartkowska-Sniatkowska
Alicja
A
D000015:Abnormalities, Multiple / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods; D003097:Collateral Circulation; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D018633:Pulmonary Atresia / Q000601:surgery*