Hostname: page-component-77c89778f8-m42fx Total loading time: 0 Render date: 2024-07-20T07:02:18.186Z Has data issue: false hasContentIssue false
  • English
  • Français

Early spontaneous closure of large arterial ducts in two term neonates with Ebstein anomaly after failed attempts of transcatheter closure

Published online by Cambridge University Press:  15 March 2023

Raymond N. Haddad Open the ORCID record for Raymond N. Haddad [Opens in a new window] ,
Damien Bonnet Open the ORCID record for Damien Bonnet [Opens in a new window]  and
Sophie Malekzadeh-Milani Open the ORCID record for Sophie Malekzadeh-Milani [Opens in a new window]
Raymond N. Haddad*
Affiliation:
M3C-Necker, Hôpital Universitaire Necker-Enfants malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
Damien Bonnet
Affiliation:
M3C-Necker, Hôpital Universitaire Necker-Enfants malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
Sophie Malekzadeh-Milani
Affiliation:
M3C-Necker, Hôpital Universitaire Necker-Enfants malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
*
Author for correspondence: Dr. Raymond N. Haddad, MD. Service de cardiologie congénitale et pédiatrique, centre de référence des malformations cardiaques congénitales complexes - M3C, Hôpital Universitaire Necker-Enfants malades, 149, Rue de Sèvres, 75015, Paris, France. Tel: +33 7 53 15 95 04; Fax: +33 1 44 49 47 30. E-mail: raymondhaddad@live.com
Get access Rights & Permissions [Opens in a new window]

Abstract

In neonatal Ebstein’s anomaly of the tricuspid valve, prolonged ductal patency in patients without anatomic pulmonary valve atresia can be deleterious. Circular shunts may develop in patients with different degrees of pulmonary and tricuspid insufficiency. Closure of the arterial duct may result in haemodynamic improvement in particular scenarios. The transcatheter approach is a valuable closure alternative despite some technical difficulties in large-sized arterial ducts and low birth weight neonates. Herein, we report on two consecutive term newborns with Ebstein’s anomaly and large arterial ducts in whom mechanical stimulus of the arterial duct during failed attempts of transcatheter closure led after two days to definitive closure followed by good clinical outcomes.

Keywords

Arterial ductneonatal Ebstein anomalyspontaneous closureterm newborn
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 9 , September 2023 , pp. 1726 - 1729
Check for updates
Copyright
© The Author(s), 2023. 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

Da Fonseca Da Silva, L, Devine, WA, Alsaied, T, Yeh, J, Lin, JI, Da Silva, J. Ebstein’s anomaly. In: (eds). Congenital Heart Defects - Recent Advances. IntechOpen, 2022, 10.5772/intechopen.104670.Google Scholar
Yetman, AT, Freedom, RM, McCrindle, BW. Outcome in cyanotic neonates with Ebstein’s anomaly. Am J Cardiol 1998; 81: 749–754. DOI 10.1016/s0002-9149(97)01009-6.CrossRefGoogle ScholarPubMed
Wald, RM, Adatia, I, Van Arsdell, GS, Hornberger, LK. Relation of limiting ductal patency to survival in neonatal Ebstein’s anomaly. Am J Cardiol 2005; 96: 851–856. DOI 10.1016/j.amjcard.2005.05.035.CrossRefGoogle ScholarPubMed
Hoffman, JI. Is spontaneous closure of a patent arterial duct common? Cardiol Young 2017; 27: 55–58. DOI 10.1017/S1047951116000081.CrossRefGoogle ScholarPubMed
Slaughter, JL, Cua, CL, Notestine, JL, et al. Early prediction of spontaneous Patent Ductus Arteriosus (PDA) closure and PDA-associated outcomes: a prospective cohort investigation. BMC Pediatr 2019; 19: 333. DOI 10.1186/s12887-019-1708-z.CrossRefGoogle ScholarPubMed
Ewert, P. Challenges encountered during closure of patent ductus arteriosus. Pediatr Cardiol 2005; 26: 224–229. DOI 10.1007/s00246-005-1010-8.CrossRefGoogle ScholarPubMed
Sathanandam, SK, Gutfinger, D, O'Brien, L, et al. Amplatzer Piccolo Occluder clinical trial for percutaneous closure of the patent ductus arteriosus in patients ≥700 grams. Catheter Cardiovasc Interv 2020; 96: 1266–1276. DOI 10.1002/ccd.28973.CrossRefGoogle ScholarPubMed
Méot, M, Haddad, RN, Patkai, J, et al. Spontaneous closure of the arterial duct after transcatheter closure attempt in preterm infants. Children (Basel) 2021; 8: 1138. DOI 10.3390/children8121138.Google ScholarPubMed
Deniwar, A, Brown, M, Balaguru, D. Spontaneous closure of patent ductus arteriosus in preterm babies after failed attempts at transcatheter device closure. Ann Pediatr Cardiol 2022; 15: 219–221. DOI 10.4103/apc.apc_117_21.CrossRefGoogle ScholarPubMed
Kuntz, MT, Staffa, SJ, Graham, D, et al. Trend and outcomes for surgical versus transcatheter patent ductus arteriosus closure in neonates and infants at US Children’s Hospitals. J Am Heart Assoc 2022; 11: e022776. DOI 10.1161/JAHA.121.022776.CrossRefGoogle ScholarPubMed
Batlivala, SP, Glatz, AC, Gillespie, MJ, Dori, Y, Rome, JJ. Ductal spasm during performance of transcatheter ductal occlusion. Catheter Cardiovasc Interv 2014; 83: 762–767. DOI 10.1002/ccd.25120.CrossRefGoogle ScholarPubMed
De Decker, R, Comitis, G, Thomas, J, van der Merwe, E, Lawrenson, J. A novel approach to ductal spasm during percutaneous device occlusion of patent ductus arteriosus. Cardiol Young 2016; 26: 1352–1358. DOI 10.1017/S1047951115002619.CrossRefGoogle ScholarPubMed