Hostname: page-component-848d4c4894-nmvwc Total loading time: 0 Render date: 2024-07-04T12:05:04.432Z Has data issue: false hasContentIssue false

Bilateral ductal stenting in an infant with pulmonary atresia and ventricular septal defect, non-confluent pulmonary arteries, and bilateral arterial duct

Published online by Cambridge University Press:  05 March 2024

Paul Padovani
Affiliation:
Nantes Université, CHU Nantes, Department of Pediatric Cardiology and Pediatric Cardiac Surgery, FHU PRECICARE, Nantes, France Nantes Université, CHU Nantes, INSERM, CIC FEA 1413, Nantes, France
Mohamedou Ly
Affiliation:
Nantes Université, CHU Nantes, Department of Pediatric Cardiology and Pediatric Cardiac Surgery, FHU PRECICARE, Nantes, France
Alban-Elouen Baruteau*
Affiliation:
Nantes Université, CHU Nantes, Department of Pediatric Cardiology and Pediatric Cardiac Surgery, FHU PRECICARE, Nantes, France Nantes Université, CHU Nantes, INSERM, CIC FEA 1413, Nantes, France Nantes Université, CHU Nantes, CNRS, INSERM, l’institut du thorax, Nantes, France Nantes Université, INRAE, UMR 1280, PhAN, Nantes, France
*
Corresponding author: Alban-Elouen Baruteau; Email: albanelouen.baruteau@chu-nantes.fr

Abstract

Pulmonary atresia with ventricular septal defect, non-confluent pulmonary arteries, and bilateral arterial duct is a rare and complex CHD. Physiologic ductal closure may lead to life-threatening hypoxia. We present a case of successful bilateral ductal stenting as a bridge to further lower-risk surgical repair.

Type
Brief Report
Copyright
© The Author(s), 2024. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Peirone, A, Abdullah, MM, Dicke, F, Freedom, RM, Smallhorn, J. Echocardiographic evaluation, management and outcomes of bilateral arterial ducts and complex congenital heart disease: 16 years’ experience. Cardiol Young. 2002; 12: 272277.CrossRefGoogle ScholarPubMed
Gray, WH, Sorabella, RA, Berry, CM, Padilla, LA, Law, MA, Dabal, RJ. Hybrid norwood for hypoplastic left heart syndrome with rare aortic arch anatomy. Wor J Ped Cong Heart Surg. 2023; 14: 756758. DOI: 10.1177/21501351231176455.CrossRefGoogle ScholarPubMed
Waldman, JD, Karp, RB, Gittenberger-de Groot, AC, Agarwala, B, Glagov, S. Spontaneous acquisition of discontinuous pulmonary arteries. Ann Thorac Surg. 1996; 62: 161168.CrossRefGoogle ScholarPubMed
Nakamura, M, Kanno, K, Nishioka, M. Primary pulmonary artery reconstruction for functional single ventricle with absent central pulmonary artery and bilateral patent ductus arteriosus. Gen Thorac Cardiovasc Surg. 2022; 70: 541546.CrossRefGoogle ScholarPubMed
Stamm, C, Friehs, I, Zurakowski, D, et al. Outcome after reconstruction of discontinuous pulmonary arteries. J Thorac Cardiovasc Surg. 2002; 123: 246257.CrossRefGoogle ScholarPubMed
Valdeomillos, E, Jalal, Z, Boudjemline, Y, Thambo, J-B. Transcatheter ductus arteriosus stenting in paediatric cardiology: indications, results and perspectives. Arch Cardiovasc Dis. 2020; 113: 129141.CrossRefGoogle Scholar
Abdelmassih, AF, Menshawey, R, Menshawey, E, et al. Blalock-taussig shunt versus ductal stent in the palliation of duct dependent pulmonary circulation: a systematic review and metaanalysis. Curr Probl Cardiol 2022; 47: 100885.CrossRefGoogle Scholar
Santoro, G, Capozzi, G, Giordano, M, et al. Fate of duct-dependent, discontinuous pulmonary arteries after arterial duct stenting. Pediatr Cardiol. 2017; 38: 13701376.Google ScholarPubMed
Alwi, M, Mood, MC. Stenting of lesions in patent ductus arteriosus with duct-dependent pulmonary blood flow: focus on case selection, techniques and outcome. Interv Cardiol Clin. 2013; 2: 93113.Google ScholarPubMed
Nasef, MA, Shahbah, DA, Batlivala, SP, et al. Short- and medium-term outcomes for patent ductus arteriosus stenting in neonates ≤2.5 kg with duct-dependent pulmonary circulation. Catheter Cardiovasc Interv. 2022; 100: 596605.CrossRefGoogle Scholar