Hostname: page-component-8448b6f56d-c47g7 Total loading time: 0 Render date: 2024-04-25T04:41:40.356Z Has data issue: false hasContentIssue false

Recanalisation of the closed ductus arteriosus in a critically ill infant with transposition of the great arteries

Published online by Cambridge University Press:  22 June 2015

Kok W. Soo*
Affiliation:
Paediatric and Congenital Heart Centre, National Heart Institute (IJN), Kuala Lumpur, Malaysia
Ming C. Leong
Affiliation:
Paediatric and Congenital Heart Centre, National Heart Institute (IJN), Kuala Lumpur, Malaysia
Faizah Khalid
Affiliation:
Paediatric and Congenital Heart Centre, National Heart Institute (IJN), Kuala Lumpur, Malaysia
*
Correspondence to: Dr K. W. Soo, MRCPCH, Paediatric and Congenital Heart Centre, National Heart Institute, 145 Jalan Tun Razak, 50400 Kuala Lumpur, Malaysia. Tel: +60 32 617 8200; Fax: +60 32 694 6478; E-mail: dr.soo@ijn.com.my

Abstract

We describe the case of an infant who was a late presenter of transposition of the great arteries where we proceeded with ductal stenting to improve oxygenation and left ventricle training. Stenting improved the infant’s saturation while keeping the left ventricle well trained for 4 months after the procedure. This report demonstrates that intermediate-term left ventricle training can be achieved via ductal stenting.

Type
Brief Reports
Copyright
© Cambridge University Press 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Parker, NM, Zuhdi, M, Kouatli, A, et al. Late presenters with dextro-transposition of great arteries and intact ventricular septum: to train or not to train the left ventricle for arterial switch operation? Congenit Heart Dis 2009; 4: 424432.CrossRefGoogle ScholarPubMed
2. Kang, N, de Leval, MR, Eliott, M, et al. Extending the boundaries of the primary arterial switch operation in patients with transposition of the great arteries and intact ventricular septum. Circulation 2004; 110: 123127.Google Scholar
3. Edwin, F, Mamorare, H, Brink, J, et al. Primary arterial switch operation for transposition of the great arteries with intact ventricular septum – is it safe after three weeks of age? Interact Cardiovasc Thorac Surg 2010; 11: 641644.CrossRefGoogle ScholarPubMed
4. Nathan, M. Late arterial switch operation for transposition with intact septum. World J Pediatr Congenit Heart Surg 2014; 5: 226228.Google Scholar
5. Bisoi, AK, Ahmed, T, Malankar, DP, et al. Midterm outcome of primary arterial switch operation beyond six weeks of life in children with transposition of great arteries and intact ventricular septum. World J Pediatr Congenit Heart Surg 2014; 5: 219225.CrossRefGoogle ScholarPubMed
6. Cain, MT, Cao, Y, Ghanayem, NS, et al. Transposition of the great arteries – outcomes and time interval of early neonatal repair. World J Pediatr Congenit Heart Surg 2014; 5: 241247.Google Scholar
7. Sivakumar, K, Francis, E, Krishnan, P, et al. Ductal stenting retrains the left ventricle in transposition of great arteries with intact ventricular septum. J Thorac Cardiovasc Surg 2006; 132: 10811086.Google Scholar
8. Kothari, SS, Ramakrishnan, S, Senguttuvan, NB, et al. Ductal recanalization and stenting for late presenters with TGA intact ventricular septum. Ann Pediatr Cardiol 2011; 4: 135138.Google Scholar
9. Kramer, HH, Scheewe, J, Fischer, G, et al. Long term follow-up of left ventricular performance and size of the great arteries before and after one- and two-stage arterial switch operation of simple transposition. Eur J Cardiothorac Surg 2003; 24: 898905.Google Scholar

Soo supplementary material

Soo supplementary material 1

Download Soo supplementary material(Video)
Video 5.2 MB