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Transcatheter closure with a “single lobe” Amplatzer Vascular Plug of a tubular patent ductus arteriosus in a neonate with transposition of the great arteries and heart failure

Published online by Cambridge University Press:  06 January 2023

Shiv-Raj Sharma Open the ORCID record for Shiv-Raj Sharma [Opens in a new window] ,
Guido Michielon  and
Alain Fraisse
Shiv-Raj Sharma
Affiliation:
Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, London, UK Cardiac Congenital Surgery Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, London, UK
Guido Michielon
Affiliation:
Cardiac Congenital Surgery Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, London, UK National Heart and Lung Institute, Imperial College London, London, UK
Alain Fraisse*
Affiliation:
Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, London, UK Cardiac Congenital Surgery Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, London, UK
*
Author for correspondence: Alain Fraisse, Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, Sydney Street, SW3 6NP London, UK. E-mail: a.fraisse@rbht.nhs.uk
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Abstract

A patent ductus arteriosus in patients with transposition of the great arteries is usually beneficial to allow shunting between pulmonary and systemic circulations. However, if the duct is too large, it can cause haemodynamic instability, pulmonary oedema and compromised organ perfusion. We present a neonate in whom a 5 mm short and tubular ductus arteriosus was causing significant cardiac failure with necrotising enterocolitis and liver impairment, leaving him too unstable for the arterial switch operation. At day 14 of life (3.1 kg), the baby underwent successful transcatheter closure using an Amplatzer vascular plug (Abbott, Chicago, Il, USA) delivered through a 5Fr catheter from the aortic side. The procedure was uncomplicated and successful as the neonate was extubated 2 days later. He subsequently underwent successful arterial switch surgery.

Keywords

PDATGAinterventionamplatzerneonatepercutaneous
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 8 , August 2023 , pp. 1453 - 1455
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Copyright
© The Author(s), 2023. Published by Cambridge University Press

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Footnotes

Relationships with Industry: Alain Fraisse is consultant and proctor for Abbott and for Occlutech.

References

Rodríguez Ogando, A, Planelles Asensio, I, de la Blanca, ARS, et al. Surgical ligation versus percutaneous closure of patent ductus arteriosus in very low-weight preterm infants: which are the real benefits of the percutaneous approach? Pediatr Cardiol 2018; 39: 398–410.CrossRefGoogle ScholarPubMed
Choi, GJ, Song, J, Kim, H, et al. Development of necrotizing enterocolitis in full-term infants with duct dependent congenital heart disease. BMC Pediatr 2022; 22: 174.CrossRefGoogle ScholarPubMed
Kelleher, ST, McMahon, CJ, James, A. Necrotizing enterocolitis in children with congenital heart disease: a literature review. Pediatr Cardiol 2021; 42: 1688–1699.CrossRefGoogle ScholarPubMed
Spinner, JA, Morris, SA, Nandi, D, et al. Necrotizing enterocolitis and associated mortality in neonates with congenital heart disease: a multi-institutional study. Pediatr Crit Care Med 2020; 21: 228–234.CrossRefGoogle ScholarPubMed
Grunenwald Gronier, C, Benbrik, N, Romefort, B, Prigent, S, Hauet, Q, Baruteau, AE. Off-label use of Lifetech KONAR-MF™ ventricular septal defect occluder for large patent ductus arteriosus closure in <6 kg infants. Int J Cardiol Congenit Heart Dis 2022; 7: 100316.CrossRefGoogle Scholar
Choi, EY, Jang, SI, Kim, SJ. Use of an Amplatzer Vascular Plug to occlude a tubular type of patent ductus arteriosus. Korean J Pediatr 2009; 52: 1035.CrossRefGoogle Scholar