Abstract
A 14-month-old child underwent routine transcatheter closure of her patent ductus arteriosus (PDA) using the Rashkind double-umbrella device. She developed severe persistent hemolysis in association with residual ductal flow. The problem was managed by the previously unreported approach of standard surgical ligation of the duct via a left thoracotomy, leaving the occlusion device in situ.
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Ali Kahn MA, Al Yousef S, Mullins CE, Sawyer W (1992) Experiences with 205 procedures of transcatheter closure of ductus arteriosus in 182 patients, with special reference to residual shunts and long-term follow-up.J Thorac Cardiovasc Surg 104:1721–1727
Grifka RG, O'Laughlin MP, Mullins CE (1992) Late transcatheter removal of a Rashkind PDA occlusion device for persistent haemolysis using a modified transseptal sheath.Cathet Cardiovasc Diagn 25:140–143
Hosking MCK, Benson LN, Musewe N, Dyck JD, Freedom RM (1991) Transcatheter occlusion of the persistently patent ductus arteriosus: forty month follow-up and prevalence of residual shunting.Circulation 84:2313–2317
Ladusans EJ, Murdoch I, Franciosi J (1989) Severe haemolysis after percutaneous closure of a ductus arteriosus (arterial duct).Br Heart J 61:548–550
Musewe NN, Benson LN, Smallhorn JF, Freedom RM (1989) Two-dimensional echocardiographic and color flow Doppler evaluation of ductal occlusion with the Rashkind prosthesis.Circulation 80:1706–1710
Rashkind WJ, Mullins CE, Hellebrand WE, Tait MA (1987) Nonsurgical closure of patent ductus arteriosus: clinical application of the Rashkind PDA occluder system.Circulation 75:583–592
Tynan M (1992) Transcatheter occlusion of persistent arterial duct: report of the European Registry.Lancet 340:1062–1066
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Chisholm, J.C., Salmon, A.P., Keeton, B.R. et al. Persistent hemolysis after transcatheter occlusion of a patent ductus arteriosus: Surgical ligation of the duct over the occlusion device. Pediatr Cardiol 16, 194–196 (1995). https://doi.org/10.1007/BF00794194
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DOI: https://doi.org/10.1007/BF00794194