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Banding of a patent arterial duct to palliate complete transposition in a compromised neonate

Published online by Cambridge University Press:  19 August 2008

Jonathan J. Drummond-Webb*
Affiliation:
Center for Pediatric and Congenital Heart Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA
Michiaki Imamura
Affiliation:
Center for Pediatric and Congenital Heart Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA
Roger B.B. Mee
Affiliation:
Center for Pediatric and Congenital Heart Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA
*
Dr. J J Drummond-Webb, The Center for Pediatric and Congenital Heart Surgery, The cleveland Clinic Foundation, M41, 9500 Euclid Avenue, Cleveland, Ohio, 44195–5066, USA. Tel: 216 445–9365; Fax: 216 445–3692; E-mail: drummoj@ccf.org

Abstract

In a hemodynamically compromised neonate with complete transposition and intact ventricular septum (concordant atrioventricular and discordant ventriculo-arterial connections), it became necessary to control severe congestive heart failure. The arterial switch operation had been delayed because of intracranial bleeding and subsequent coagulopathy. The cardiac failure was reversed by surgical banding of the patent arterial duct. The arterial switch was performed successfully one week later.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2000

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References

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