Abstract
A critically ill 3-day-old neonate with severe tricuspid valve Ebstein’s anomaly, functional pulmonary atresia, and closed ductus arteriosus, unresponsive to prostaglandin infusion, underwent percutaneous ductal recanalization and stenting as an alternative to a surgical shunt. After local prostaglandin infusion through an end-hole catheter, the ductus was passed using a hydrophilic, high-support coronary guidewire. It was then stabilized by coronary stent implantation, after which the arterial oxygen saturation showed a sudden rise. In conclusion, ductus arteriosus recanalization and stenting can be successfully achieved within a few days after spontaneous closure as a cost-effective alternative to a surgical shunt for critical neonatal, duct-dependent Ebstein’s anomaly.
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Alwi M, Choo KK, Latiff HA, Kandavello G, Samion H, Mulyadi MD (2004) Initial results and medium-term follow-up of stent implantation of patent ductus arteriosus in duct-dependent pulmonary circulation. J Am Coll Cardiol 44:438–445
Celermajer DS, Bull C, Till JA, et al. (1994) Ebstein’s anomaly: presentation and outcome from fetus to adult. J Am Coll Cardiol 23:170–176
Endo M, Sawamura Y, Saiki Y, Shibuya T, Tanaka T, Tabayashi K (2004) Blalock-Taussing shunt for neonatal case of Ebstein’s anomaly with unobstructed right ventricular outflow tract. Pediatr Cardiol 25:56–57
Gewillig M, Boshoff DE, Dens J, Mertens L, Benson LN (2004) Stenting the neonatal arterial duct in duct-dependent pulmonary circulation: new techniques, better results. J Am Coll Cardiol 43:107–112
Gibbs JL, Uzun O, Blackburn MEC, Wren C, Hamilton L, Watterson KG (1999) Fate of the stented arterial duct. Circulation 99:2621–2625
Jaiswal PK, Balakrishnan KG, Saha A, et al. (1994) Clinical profile and natural history of Ebstein’s anomaly of tricuspid valve. Int J Cardiol 46:113–119
Knott-Craig CJ, Overholt ED, Ward KE, Razook JD (2000) Neonatal repair of Ebstein’s anomaly: indications, surgical technique, and medium-term follow-up. Ann Thorac Surg 69:1505–1510
Michel-Behnke I, Akintuerk H, Thul J, Bauer J, Hagel KJ, Schranz D (2004) Stent implantation in the ductus arteriosus for pulmonary blood supply in congenital heart disease. Catheter Cardiovasc Interv 61:242–252
Robertson DA, Silverman NH (1989) Ebstein’s anomaly: echocardiographic and clinical features in the fetus and neonate. J Am Coll Cardiol 14:1300–1307
Santoro G, Gaio G, Palladino MT, Iacono C, Carrozza M, Esposito R, Russo MG, Caianiello G, Calabrò R (2007) Stenting of the arterial duct in newborns with duct-dependent pulmonary circulation. Heart (published online first: 30 July 2007). doi:10.1136/hrt.2007.123000
Sarris GE, Giannopoulos NM, Tsoutsinos AJ, Chatzis AK, Kirvassilis G, Brawn WJ, et al. (2006) Results of surgery for Ebstein anomaly: a multicenter study from the European Congenital Heart Surgeons Association. J Thorac Cardiovasc Surg 132:50–57
Schneider M, Zartner P, Sidiropoulos A, Konertz W, Hausdorf G (1998) Stent implantation of the arterial duct in newborns with duct-dependent circulation. Eur Heart J, 19:1401–1409
Singh Gk, Fong LV, Salmon AP, Keeton BR (1994) Study of low dosage prostaglandin: usages and complications. Eur Heart J 15:377–381
Starnes VA, Pitlick PT, Bernstein D, et al. (1991) Ebstein’s anomaly appearing in the neonate. J Thorac Cardiovasc Surg 101:1082–1087
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Santoro, G., Palladino, M.T., Russo, M.G. et al. Neonatal Patent Ductus Arteriosus Recanalization and Stenting in Critical Ebstein’s Anomaly. Pediatr Cardiol 29, 176–179 (2008). https://doi.org/10.1007/s00246-007-9106-y
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DOI: https://doi.org/10.1007/s00246-007-9106-y