open access

Vol 13, No 5 (2018)
Cardiac Surgery
Published online: 2018-12-06
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Early device migration to the pulmonary artery after percutaneous patent ductus arteriosus closure in a neonate

Karolina Andrzejczyk, Maciej Chojnicki, Julia Haponiuk, Mariusz Steffens, Konrad Paczkowski, Katarzyna Gierat-Haponiuk, Anna Romanowicz, Marta Paśko-Majewska, Wiktor Szymanowicz, Ireneusz Haponiuk
DOI: 10.5603/FC.2018.0115
·
Folia Cardiologica 2018;13(5):481-484.

open access

Vol 13, No 5 (2018)
Cardiac Surgery
Published online: 2018-12-06

Abstract

Device displacement with pulmonary artery embolisation (PDA) is a rare complication after percutaneous closure of
a patent arterial duct. An 11-day old neonate with PDA was admitted to the Department of Paediatric Cardiac Surgery for
treatment. The newborn was qualified for a transcatheter closure of PDA. Device displacement to the pulmonary artery
was observed during the procedure. The patient was qualified for a surgical procedure of PDA closure, with removal of
the implant via midline sternotomy to provide an additional safeguard with extracorporeal circulation. The procedure and
early postoperative course were uneventful. The patient was discharged home in good general condition.
Interventional cardiology can provide effective minimally-invasive solutions for congenital heart disease treatment, but
there is always a risk of potentially life-threatening complications.

Abstract

Device displacement with pulmonary artery embolisation (PDA) is a rare complication after percutaneous closure of
a patent arterial duct. An 11-day old neonate with PDA was admitted to the Department of Paediatric Cardiac Surgery for
treatment. The newborn was qualified for a transcatheter closure of PDA. Device displacement to the pulmonary artery
was observed during the procedure. The patient was qualified for a surgical procedure of PDA closure, with removal of
the implant via midline sternotomy to provide an additional safeguard with extracorporeal circulation. The procedure and
early postoperative course were uneventful. The patient was discharged home in good general condition.
Interventional cardiology can provide effective minimally-invasive solutions for congenital heart disease treatment, but
there is always a risk of potentially life-threatening complications.

Get Citation

Keywords

interventional cardiology, paediatric cardiac surgery, patent ductus arteriosus

About this article
Title

Early device migration to the pulmonary artery after percutaneous patent ductus arteriosus closure in a neonate

Journal

Folia Cardiologica

Issue

Vol 13, No 5 (2018)

Pages

481-484

Published online

2018-12-06

DOI

10.5603/FC.2018.0115

Bibliographic record

Folia Cardiologica 2018;13(5):481-484.

Keywords

interventional cardiology
paediatric cardiac surgery
patent ductus arteriosus

Authors

Karolina Andrzejczyk
Maciej Chojnicki
Julia Haponiuk
Mariusz Steffens
Konrad Paczkowski
Katarzyna Gierat-Haponiuk
Anna Romanowicz
Marta Paśko-Majewska
Wiktor Szymanowicz
Ireneusz Haponiuk

References (10)
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  2. Delaney JW, Fletcher SE. Patent ductus arteriosus closure using the Amplatzer® vascular plug II for all anatomic variants. Catheter Cardiovasc Interv. 2013; 81(5): 820–824.
  3. Garay FJ, Aguirre D, Cárdenas L, et al. Use of the amplatzer vascular plug II device to occlude different types of patent ductus arteriosus in pediatric patients. J Interv Cardiol. 2015; 28(2): 198–204.
  4. Ramakrishnan S. Vascular plugs — a key companion to interventionists — 'just plug it'. Indian Heart J. 2015; 67(4): 399–405.
  5. Haponiuk I, Paczkowski K, Chojnicki M, et al. Iatrogenic obstruction of the aorta — a sequence of delayed, fatal complications after 'off-label' interventional persistent ductus arteriosus closure. Videosurgery Miniinv. 2016; 11(1): 44–48.
  6. Backes CH, Cheatham SL, Deyo GM, et al. Percutaneous Patent Ductus Arteriosus (PDA) closure in very preterm infants: feasibility and complications. J Am Heart Assoc. 2016; 5(2): 1–10.
  7. Krichenko A, Benson LN, Burrows P, et al. Angiographic classification of the isolated, persistently patent ductus arteriosus and implications for percutaneous catheter occlusion. Am J Cardiol. 1989; 63(12): 877–880.
  8. Pawelec-Wojtalik M, Masura J, Wojtalik M, et al. Treatment of the patent ductus arteriosus with the Amplatzer Duct Occluder. Folia Cardiol Excerpta. 2004; 11(4): 285–291.
  9. Białkowski J, Głowacki J, Zabal C, et al. Patent ductus arteriosus at low and high altitudes: anatomical and haemodynamic features and their implications for transcatheter closure. Kardiol Pol. 2011; 69(5): 431–436.
  10. Koltowski P, Patkowski P, Adamus J, et al. Thoracoscopic closure of patent ductus arteriosus in two premature infants weighing 700 and 800 g. Kardiochir Torakochir Pol. 2012; 9(4): 428–430.

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