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Late manifestation coarctation of the aorta in a premature infant 4-month post-percutaneous device closure of a patent ductus arteriosus

Published online by Cambridge University Press:  25 November 2019

Ryan M. Serrano
Affiliation:
Department of Pediatric Cardiology and Department of Pediatric Cardiothoracic Surgery, Riley Hospital for Children, Indianapolis, IN, USA
Mark D. Rodefeld
Affiliation:
Department of Pediatric Cardiology and Department of Pediatric Cardiothoracic Surgery, Riley Hospital for Children, Indianapolis, IN, USA
Ryan Alexy
Affiliation:
Department of Pediatric Cardiology and Department of Pediatric Cardiothoracic Surgery, Riley Hospital for Children, Indianapolis, IN, USA
Corresponding
E-mail address:

Abstract

Patent ductus arteriosus is the most common cardiovascular abnormality in premature infants. With newly available percutaneous devices, centres are reporting high rates of success and favourable safety profiles with percutaneous closure of haemodynamically significant ductus arteriosi in infants under 1000 g. We report the case of a 5-week-old, previous 25-week gestation, 1200-g infant who underwent successful percutaneous closure of a ductus arteriosus with a Medtronic Microvascular Plug but who developed late-term coarctation from the device. This case should prompt practitioners to consider the need and timing of follow-up echocardiograms in this population and sheds light on a newly reported long-term complication of device closure in premature infants.

Type
Brief Report
Copyright
© Cambridge University Press 2019 

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References

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Late manifestation coarctation of the aorta in a premature infant 4-month post-percutaneous device closure of a patent ductus arteriosus
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Late manifestation coarctation of the aorta in a premature infant 4-month post-percutaneous device closure of a patent ductus arteriosus
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