Stenting of Bilateral Arterial Ducts in Complex Congenital Heart Disease
- 105 Downloads
Bilateral arterial ducts serving nonconfluent pulmonary arteries is a very rare pattern of pulmonary blood flow in congenital heart disease with pulmonary atresia. In this setting, neonatal ductal closure might result in abrupt pulmonary hypoperfusion and life-threatening systemic hypoxia, thereby indicating emergent surgical palliation or repair. However, percutaneous arterial duct stenting might be an alternative to surgery, especially in high-risk patients. This article reports on two critical neonates with complex heart disease and discontinuous pulmonary arteries dependent on bilateral arterial ducts who successfully underwent transcatheter ductal stenting as first-step palliation toward lower-risk corrective surgery.
KeywordsCongenital heart disease Patent arterial duct Stent Cyanosis
(MOV 1278 kb)
(MOV 2459 kb)
- 8.Santoro G, Gaio G, Palladino MT, et al. (2007) Stenting of the arterial duct in newborns with duct-dependent pulmonary circulation. Heart (published online first: July 30, 2007). Doi: 10.1136/hrt.2007.123000