Published in:
01-01-2008 | Case Report
Neonatal Patent Ductus Arteriosus Recanalization and Stenting in Critical Ebstein’s Anomaly
Authors:
G. Santoro, M. T. Palladino, M. G. Russo, R. Calabrò
Published in:
Pediatric Cardiology
|
Issue 1/2008
Login to get access
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.