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Post-Patent Ductus Arteriosus ligation syndrome with hypertension and masking of renal artery stenosis in an infant

Part of: Surgery

Published online by Cambridge University Press:  07 February 2018

Erica E. ElSeed Peterson*
Affiliation:
Department of Pediatrics, University of South Florida, Resident Physician, Tampa, FL, USA
Daniel Mauriello
Affiliation:
Division of Pediatric Cardiology, Johns Hopkins All Children’s Assistant Professor, St. Petersburg, FL, USA
*
Author for correspondence: EEE Peterson, USF Health, Pediatrics, 2 Tampa General Circle, Room 5036, Tampa, Florida, USA. Tel: 813 259 8725; E-mail: eelseed@health.usf.edu

Abstract

Post-patent ductus arteriosus ligation syndrome is common, but rarely has hypertension been described following ductal ligation with an unclear mechanism. We report a case of an infant who exhibited features of post-patent ductus arteriosus ligation syndrome and hypertension, but was found to have bilateral renal artery stenosis. Increased systemic vascular resistance can be masked by the parallel circuit physiology of a patent ductus arteriosus.

Type
Brief Report
Copyright
© Cambridge University Press 2018 

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References

1. Kimball, KR, Ralston, MA Khoury, P, et al. Effect of ligation of patent ductus arteriosus on left ventricular performance and its determinants in premature neonates. JACC 1996; 27: 193197.Google Scholar
2. El-Khuffash, AF, Jain, A McNamara, PJ, et al. Ligation of the patent ductus arteriosus in preterm infants: understanding the physiology. J Pediatr 2013; 162: 11001106.Google Scholar
3. Davierwala, P, Thakur, N Babu, P. Unexplained systemic hypertension after closure of ductus arteriosus. Asian Cardiovasc Thorac Ann 2002; 10: 7879.CrossRefGoogle ScholarPubMed