title: Interventional re-opening of a PDA for reverse potts shunt circulation after ADO i implantation in a child.
abstract: We report interventional re-opening of a PDA for reverse Potts shunt circulation 12 months after closure in a 3.8 year old child, suffering from right ventricular (RV) failure due to suprasystemic pulmonary artery hypertension (PAH) after ADO I implantation. After ex vivo simulation, perforation through the mesh of the ADO I with the use of transseptal needle, wire looping (AO-PA), balloon dilatation, stent implantation (Palmaz 6 mm) and post dilatation, a reverse Pott-shunt circulation was established. A follow-up period of 11 months was achieved with preserved RV function and reverse Pott shunt circulation maintained a post ductal saturation of 94-88%. © 2016 Wiley Periodicals, Inc.
authors: Department of Congenital Heart Disease/Pediatric Cardiology, Deutsches Herzzentrum Berlin, Germany.|DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Germany.
authors: Stephan
authors: S
authors: Schubert
authors: Department of Congenital Heart Disease/Pediatric Cardiology, Deutsches Herzzentrum Berlin, Germany.|DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Germany.
authors: Björn
authors: B
authors: Peters
authors: Department of Congenital Heart Disease/Pediatric Cardiology, Deutsches Herzzentrum Berlin, Germany.|DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Germany.
authors: Felix
authors: F
authors: Berger
mesh_terms: D002675:Child, Preschool; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D004452:Echocardiography; D005500:Follow-Up Studies; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D008297:Male; D011475:Prosthesis Failure; D011652:Pulmonary Circulation / Q000502:physiology; D011669:Pulmonary Wedge Pressure; D012086:Reoperation; D055989:Septal Occluder Device / Q000009:adverse effects*; D015607:Stents; D013997:Time Factors; D018497:Ventricular Dysfunction, Right / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D016278:Ventricular Function, Right / Q000502:physiology*
keywords: congenital heart disease; pediatric intervention; pediatrics; pulmonary hypertension