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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

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