Anesthetic management for a hypertensive patent ductus arteriosus (PDA) closure in a patient with surgically uncorrectable long-segment right pulmonary artery hypoplasia and a ventricular septal defect

2003 ◽  
Vol 17 (6) ◽  
pp. 740-743 ◽  
Author(s):  
Praveen Kumar Neema ◽  
Madathipat Unnikrishnan ◽  
Prabhat Kumar Sinha ◽  
Ramesh Chandra Rathod
2005 ◽  
Vol 41 (2) ◽  
pp. 133-136 ◽  
Author(s):  
Nuala J. Summerfield ◽  
David E. Holt

Patent ductus arteriosus (PDA) and ventricular septal defect were diagnosed in a 2-month-old, 0.9-kg, male kitten. This combination of PDA and ventricular septal defect in a cat has not been previously described. Surgical ligation of the PDA, together with palliation of the ventricular septal defect by pulmonary artery banding with a silastic band, successfully improved the kitten’s condition.


2021 ◽  
pp. 1-4
Author(s):  
Zahra Khajali ◽  
Ata Firouzi ◽  
Homa Ghaderian ◽  
Maryam Aliramezany

Abstract Ductus arteriosus is a physiological structure if not closed after birth, may lead to many complications. Today, trans-catheter closure of patent ductus arteriosus with Occluder devices is the preferred method. Surgical ligation is used only in certain cases such as large symptomatic patent ductus arteriosus in very small infants and premature babies; unfavourable structure of the duct or economic considerations. In this article, we described haemodynamic and morphological characteristics of five patients with large patent ductus arteriosus which were occluded with Amplatzer device. From 23 January, 2010 to 31 July, 2018, five patients referred to our clinic with large patent ductus arteriosus and pulmonary arterial hypertension for further evaluation. After assessing them with various diagnostic methods, we decided to close defect with ventricular septal defect Occluder device. Patients aged 21–44 years and one of them was male. Ductus closure was successfully done with ventricular septal defect Occluder device. Closure was successful for all of them but in one case, whose device was embolized to pulmonary artery after 24 hr and he underwent surgery. Trans-catheter closure of large patent ductus arteriosus in adult patients with pulmonary hypertension is feasible. Despite the fact that complications may occur even with the most experienced hands, the ‘double disk’ Amplatzer ventricular septal defect muscular Occluder could be advantageous in this setting.


2014 ◽  
Vol 25 (6) ◽  
pp. 1206-1209
Author(s):  
Apinya Bharmanee ◽  
Srinath Gowda ◽  
Harinder R. Singh

AbstractLimb ischaemia is a rare but catastrophic complication related to cardiac catheterisation. We report an infant weighing 3 kg with unrepaired tricuspid atresia type 1b, small patent ductus arteriosus, and ventricular septal defect presenting with cardiogenic shock owing to progressively reduced pulmonary blood flow from closing ventricular septal defect and patent ductus arteriosus. An emergency palliative ductal stent was successfully placed with marked clinical improvement. However, acute limb ischaemia developed necessitating above-knee amputation, despite medical management and vascular surgery. The cause of limb loss in our patient was catheterisation-related vascular injury causing arterial dissection–arterial thrombosis in the presence of shock and coagulopathy. This report emphasises the complexity in managing limb ischaemia associated with coagulopathy and highlights the importance of early recognition of reduced pulmonary flow in a single ventricle patient. Timely elective placement of a surgical systemic to pulmonary shunt would prevent catastrophic clinical presentation of compromised pulmonary flow and avoid the need for an emergent life-saving intervention and its associated complications.


Circulation ◽  
1960 ◽  
Vol 22 (2) ◽  
pp. 254-264 ◽  
Author(s):  
ARTHUR A. SASAHARA ◽  
ALEXANDER S. NADAS ◽  
ABRAHAM M. RUDOLPH ◽  
MARTIN H. WITTENBORG ◽  
ROBERT E. GROSS

2009 ◽  
Vol 134 (2) ◽  
pp. e82-e83 ◽  
Author(s):  
Giuseppe Dattilo ◽  
Viviana Tulino ◽  
Domenico Tulino ◽  
Annalisa Lamari ◽  
Filippo Marte ◽  
...  

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