Anesthetic management of a newborn with trisomy 18 undergoing closure of patent ductus arteriosus and pulmonary artery banding : case report

2014 ◽  
Vol 25 (4) ◽  
pp. e10-e12 ◽  
Author(s):  
Oguzha Arun ◽  
Bahar Oc ◽  
Mehmet Oc ◽  
Ates Duman
Keyword(s):  
Case Report ◽  
Pulmonary Artery ◽  
Patent Ductus Arteriosus ◽  
Anesthetic Management ◽  
Ductus Arteriosus ◽  
Trisomy 18 ◽  
Pulmonary Artery Banding ◽  
Patent Ductus

Anesthetic management for the correction of a patent ductus arteriosus by means of either surgical ligation or transarterial occlusion in dogs Anesthesie voor de correctie van een persisterende ductus arteriosus via chirurgie of transarteriële occlusie bi

2012 ◽  
Vol 81 (1) ◽  
pp. 17-23
Author(s):  
M. Gozalo-Marcilla ◽  
C. J. Seymour ◽  
S. Schauvliege ◽  
T. Bosmans ◽  
F. Gasthuys
Keyword(s):  
Veterinary Medicine ◽  
Case Report ◽  
Patent Ductus Arteriosus ◽  
Anesthetic Management ◽  
Ductus Arteriosus ◽  
The Other ◽  
Corrective Surgery ◽  
Vascular Abnormalities ◽  
Surgical Ligation ◽  
Patent Ductus

Patent ductus arteriosus (PDA) is one of the most common congenital vascular abnormalities in the dog. In veterinary medicine, surgical ligation (SL) and transarterial occlusion (TO) are two possible treatments that require general anesthesia. Two 4-month-old dogs were anesthetized for the correction of PDA, one by SL and the other by TO. Two different anesthetic and analgesic protocols were used, and were chosen to avoid potential complications. This case report describes two possible anesthetic approaches for PDA corrective surgery (SL and TO).

scholarly journals Expectant management of prolonged hemolysis following complete transcatheter coil closure of a patent ductus arteriosus after previous pulmonary artery banding: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mao-Sheng Hwang ◽  
Ching-Chia Kuo ◽  
Hung-Tao Chung ◽  
Hsin-Mao Hsu ◽  
Jaw-Ji Chu ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Patent Ductus Arteriosus ◽  
Transcatheter Closure ◽  
Ductus Arteriosus ◽  
Expectant Management ◽  
Pulmonary Artery Banding ◽  
Refractory Anemia ◽  
Serum Lactate Dehydrogenase ◽  
Serum Total Bilirubin ◽  
Patent Ductus

Abstract Background Transcatheter coil occlusion has been the treatment of choice for closure of small patent ductus arteriosus (PDA). In spite of its safety, complications such as hemolysis still occasionally occur. And the hemolysis almost always occurs following partial transcatheter closure of PDA; hence, it occurs extremely rarely following complete transcatheter closure of PDA without residual ductal flow. Case presentation Here, we describe a male newborn who developed prolonged hemolysis following complete transcatheter coil closure of his PDA after previous palliative pulmonary artery banding. Over the following days, we corrected his refractory anemia by repeated blood transfusion with packed red blood cells and frequently monitored his hemoglobin, serum total bilirubin, and serum lactate dehydrogenase. We speculated that the high-velocity pulmonary blood flow jet coming into contact with the extruded part of the coil led to red blood cell mechanical injury, thereby resulting in the hemolysis. We adopted expectant management in expectation of the endothelialization of the coil with a resultant reduction in the hemolysis. The hemolysis, as expected, was reduced gradually until it spontaneously resolved 81 days after coil implantation. Conclusions This case reminds us that hemolysis can still potentially occur following complete transcatheter coil closure of PDA. It also highlights the importance of preventing coils from extruding into the pulmonary artery in patients after previous pulmonary artery banding.

Non-operating room anaesthesia for embolisation of ductus closure device to the pulmonary artery in a child with patent ductus arteriosus

2019 ◽  
Vol 29 (5) ◽  
pp. 725-726 ◽  
Author(s):  
Yeliz Kılıç ◽  
Mehmet Ali Harbelioğlu
Keyword(s):  
Pulmonary Artery ◽  
Patent Ductus Arteriosus ◽  
Operating Room ◽  
Heart Diseases ◽  
Rare Complication ◽  
Anesthetic Management ◽  
Ductus Arteriosus ◽  
Closure Device ◽  
First Case ◽  
Patent Ductus

ABSTRACTPatent ductus arteriosus is among the most common congenital heart diseases. With the increasing use of transcatheter closure procedures, the incidence of complications related to the procedure has increased. Embolization of the ductus closure device to the pulmonary artery is a very rare complication. Since those procedures are often performed under non-operating room anesthesia, anesthetic management of such patients is of great importance. Herein, anesthetic management of embolization of the ductus closure device to the pulmonary artery in a little girl was presented. This is the first case regarding the anesthetic management of such complication.

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