Skip to main content Accessibility help
×
Home

Early postoperative interventional aortic valve closure for severe aortic regurgitation in a neonate after Norwood procedure

  • Daniel Dilber (a1), Andreas Eicken (a2) and Julie Cleuziou (a3)

Abstract

A neonate presented with signs of heart failure early after a Norwood procedure, due to increase of aortic and mitral valve regurgitation. Because repeated surgery was considered risky, we closed the aortic valve by catheter intervention with an Amplatzer Duct Occluder. Aortic regurgitation was abolished almost completely and the child improved. Unfortunately, 2 weeks after discharge, the patient died suddenly.

Copyright

Corresponding author

Author for correspondence: Daniel Dilber, MD, PhD, Department of Pediatric Cardiology, University Hospital Zagreb at the Medical School of Zagreb, Kispaticeva 12, 10 000 Zagreb, Croatia. Tel: + 0038512367590; E-mail: dilber_daniel@yahoo.com

References

Hide All
1.Fischer, G, Smevik, B, Novoa, JCR, Suares, FJO, Kramer, HH, Bjornstad, PG. Catheter-based treatment with the Amplatzer devices in alien positions. Catheter Cardiovasc Interv 2009; 73:669675.
2.Mahmoud, HT, Santoro, G, Capogrosso, C, Russo, MG. Off-label use of Amplatzer Duct Occluder II additional sizes. J Cardiovasc Med 2017; 18:436442.
3.Riede, F-T, Kostelka, M, Dähnert, I. Transcatheter aortic valve closure to treat severe aortic regurgitation in a patient failing stage I palliation for hypoplastic left heart syndrome. Catheter Cardiovasc Interv 2009; 74:913915.
4.Elling, R, Stiller, B, Grohmann, J. Transcatheter device occlusion of the left ventricular outflow tract as treatment for severe aortic regurgitation in hypoplastic left heart syndrome. Catheter Cardiovasc Interv 2015; 86:463466.
5.Eicken, A, Georgiev, S, Balling, G, Schreiber, C, Hager, A, Hess, J. Neonatal balloon aortic valvuloplasty-predictive value of current risk score algorithms for treatment strategies. Catheter Cardiovasc Interv 2010; 76:404410.
6.Rhodes, LA, Colan, SD, Perry, SB, Jonas, RA, Sanders, SP. Predictors of survival in neonates with critical aortic stenosis. Circulation 1991; 84:23252335.
7.Whitlock, RP, Sun, JC, Fremes, SE, Rubens, FD, Teoh, KH. Antithrombotic and thrombolytic therapy for valvular disease: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012; 141:576600.
8.Simsic, JM, Bradley, SM, Stroud, MR, Atz, AM. Risk factors for interstage death after the Norwood Procedure. Pediatr Cardiol 2005; 26:400403.
9.Delmo Walter, EM, Hübler, M, Alexi-Meskishvili, V, et al. Staged surgical palliation in hypoplastic left heart syndrome and its variants. J Card Surg 2009; 24:383391.
10.Rudd, NA, Frommelt, MA, Tweddell, JS, et al. Improving interstage survival after Norwood operation: outcomes from 10 years of home monitoring. J Thorac Cardiovasc Surg 2014; 148:15401547.

Keywords

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed