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Late manifestation coarctation of the aorta in a premature infant 4-month post-percutaneous device closure of a patent ductus arteriosus

Part of: Aortic Coarctation Interventional Cardiology

Published online by Cambridge University Press:  25 November 2019

Ryan M. Serrano Open the ORCID record for Ryan M. Serrano [Opens in a new window] ,
Mark D. Rodefeld  and
Ryan Alexy
Ryan M. Serrano*
Affiliation:
Department of Pediatric Cardiology and Department of Pediatric Cardiothoracic Surgery, Riley Hospital for Children, Indianapolis, IN, USA
Mark D. Rodefeld
Affiliation:
Department of Pediatric Cardiology and Department of Pediatric Cardiothoracic Surgery, Riley Hospital for Children, Indianapolis, IN, USA
Ryan Alexy
Affiliation:
Department of Pediatric Cardiology and Department of Pediatric Cardiothoracic Surgery, Riley Hospital for Children, Indianapolis, IN, USA
*
Author for correspondence: R. M. Serrano, Department of Pediatric Cardiology, Riley Hospital for Children, 705 Riley Hospital Drive, RR 127 Indianapolis, IN 46202, USA. Tel: (317) 274 8906; Fax: (317) 274-4022; E-mail: ryserran@iupui.edu
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Abstract

Patent ductus arteriosus is the most common cardiovascular abnormality in premature infants. With newly available percutaneous devices, centres are reporting high rates of success and favourable safety profiles with percutaneous closure of haemodynamically significant ductus arteriosi in infants under 1000 g. We report the case of a 5-week-old, previous 25-week gestation, 1200-g infant who underwent successful percutaneous closure of a ductus arteriosus with a Medtronic Microvascular Plug but who developed late-term coarctation from the device. This case should prompt practitioners to consider the need and timing of follow-up echocardiograms in this population and sheds light on a newly reported long-term complication of device closure in premature infants.

Keywords

Patent ductus arteriosuscoarctation of the aortaprematurity
Type
Brief Report
Information
Cardiology in the Young , Volume 29 , Issue 12 , December 2019 , pp. 1556 - 1558
Copyright
© Cambridge University Press 2019 

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References

Chiruvolu, A, Punjwani, P, Ramaciotti, C. Clinical and echocardiographic diagnosis of patent ductus arteriosus in premature neonates. Early Hum Dev 2009; 85: 147–149.CrossRefGoogle ScholarPubMed
Noori, S, Friedlich, P, Seri, I. Patent ductus arteriosus in the preterm infant: to treat or not to treat? J Perinatol 2010; 30: S31–S37.CrossRefGoogle ScholarPubMed
Ogando, AR, Asensio, IP, Sanchez de la blanca, AR, et al. Surgical ligation versus percutaneous closure of patent ductus arteriosus in very low-weight preterm infants: which are the real benefits of the percutaneous approach? Pediatr Cardiol 2018; 39: 398–410.CrossRefGoogle Scholar
Wang-Giuffre, EW, Breinholt, J. Novel use of the Medtronic micro vascular plug for PDA closure in preterm infants. Catheter Cardiovasc Interv 2017; 89: 1059–1065.CrossRefGoogle ScholarPubMed
Sathanandam, S, Justino, H, Warrer, BR 3rd, et al. Initial clinical experience with the Medtronic Micro Vascular Plug in transcatheter occlusion of PDAs in extremely premature infants. Catheter Cardiovasc Interv 2017; 89: 1051–1058.CrossRefGoogle ScholarPubMed
Pamukcu, O, Tuncay, A, Narin, N, et al. Patent ductus arteriosus closure in preterms less than 2 kg: surgery versus transcatheter. Int J Cardiol 2018; 250: 110–115.CrossRefGoogle ScholarPubMed
Zahn, EM, Peck, D, Phillips, A, et al. Transcatheter closure of patent ductus arteriosus in extremely premature newborns early results and midterm-follow up. J Am Coll Cardiol Intv 2016; 9: 2429–2437.CrossRefGoogle ScholarPubMed