6533b836fe1ef96bd12a14f0

RESEARCH PRODUCT

Transcatheter recanalisation and stenting of a closed ductus arteriosus in duct dependent lung perfusion

C.-f. WippermannChristoph KampmannSchmid Fx

subject

Malemedicine.medical_specialtymedicine.medical_treatmentPulmonary ArteryShort Cases in CardiologyInternal medicinemedicine.arteryDuctus arteriosusHumansMedicinePulmonary wedge pressureDuctus Arteriosus PatentTetralogy of FallotLungbusiness.industryInfant NewbornStentRight-sided aortic archLeft pulmonary arterymedicine.diseaseSurgeryRadiographymedicine.anatomical_structurePulmonary arteryTetralogy of Fallotcardiovascular systemCardiologyStentsmedicine.symptomCardiology and Cardiovascular Medicinebusiness

description

In patients with the congenital cardiac malformation of tetralogy of Fallot, occasionally one pulmonary artery, usually the left, seems angiographically to be absent.1 This pulmonary artery is usually present, but discontinuous with the pulmonary trunk, having originally been supplied by a patent arterial duct. With closure of the duct, the receiving flow to that pulmonary artery is by small collateral vessels, which leads to reduced growth of the involved pulmonary vessels and impedes definite surgical repair. We report a case of a 2 day old, 1890 g, premature, cyanotic boy (oxygen saturation 82%) with tetralogy of Fallot, right sided aortic arch, and discontinuity between the pulmonary trunk and the left pulmonary artery with a distance of 6 mm, and a complete left sided pulmonary perfusion deficiency. Six hours after starting prostaglandin E …

https://doi.org/10.1136/hrt.80.2.206