Hostname: page-component-745bb68f8f-l4dxg Total loading time: 0 Render date: 2025-01-11T10:47:27.716Z Has data issue: false hasContentIssue false
  • English
  • Français

Early postoperative interventional aortic valve closure for severe aortic regurgitation in a neonate after Norwood procedure

Part of: Surgery

Published online by Cambridge University Press:  06 June 2019

Daniel Dilber ,
Andreas Eicken  and
Julie Cleuziou
Daniel Dilber*
Affiliation:
Department of Pediatric Cardiology, University Hospital Zagreb at the Medical School of Zagreb, Zagreb, Croatia
Andreas Eicken
Affiliation:
Department of Pediatric Cardiology and Congenital Heart Disease, Deutsches Herzzentrum München, Technische Universität München, München, Germany
Julie Cleuziou
Affiliation:
Department of Cardiothoracic Surgery, Deutsches Herzzentrum München, Technische Universität München, München, Germany
*
Author for correspondence: Daniel Dilber, MD, PhD, Department of Pediatric Cardiology, University Hospital Zagreb at the Medical School of Zagreb, Kispaticeva 12, 10 000 Zagreb, Croatia. Tel: + 0038512367590; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

A neonate presented with signs of heart failure early after a Norwood procedure, due to increase of aortic and mitral valve regurgitation. Because repeated surgery was considered risky, we closed the aortic valve by catheter intervention with an Amplatzer Duct Occluder. Aortic regurgitation was abolished almost completely and the child improved. Unfortunately, 2 weeks after discharge, the patient died suddenly.

Keywords

Hypoplastic left heart syndromeneonateNorwood procedureaortic regurgitationAmplatzer Duct Occluder
Type
Brief Report
Information
Cardiology in the Young , Volume 29 , Issue 6 , June 2019 , pp. 837 - 839
Check for updates
Copyright
© Cambridge University Press 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Fischer, G, Smevik, B, Novoa, JCR, Suares, FJO, Kramer, HH, Bjornstad, PG. Catheter-based treatment with the Amplatzer devices in alien positions. Catheter Cardiovasc Interv 2009; 73:669–675.CrossRefGoogle ScholarPubMed
Mahmoud, HT, Santoro, G, Capogrosso, C, Russo, MG. Off-label use of Amplatzer Duct Occluder II additional sizes. J Cardiovasc Med 2017; 18:436–442.CrossRefGoogle ScholarPubMed
Riede, F-T, Kostelka, M, Dähnert, I. Transcatheter aortic valve closure to treat severe aortic regurgitation in a patient failing stage I palliation for hypoplastic left heart syndrome. Catheter Cardiovasc Interv 2009; 74:913–915.CrossRefGoogle Scholar
Elling, R, Stiller, B, Grohmann, J. Transcatheter device occlusion of the left ventricular outflow tract as treatment for severe aortic regurgitation in hypoplastic left heart syndrome. Catheter Cardiovasc Interv 2015; 86:463–466.CrossRefGoogle ScholarPubMed
Eicken, A, Georgiev, S, Balling, G, Schreiber, C, Hager, A, Hess, J. Neonatal balloon aortic valvuloplasty-predictive value of current risk score algorithms for treatment strategies. Catheter Cardiovasc Interv 2010; 76:404–410.CrossRefGoogle ScholarPubMed
Rhodes, LA, Colan, SD, Perry, SB, Jonas, RA, Sanders, SP. Predictors of survival in neonates with critical aortic stenosis. Circulation 1991; 84:2325–2335.CrossRefGoogle ScholarPubMed
Whitlock, RP, Sun, JC, Fremes, SE, Rubens, FD, Teoh, KH. Antithrombotic and thrombolytic therapy for valvular disease: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012; 141:576–600.CrossRefGoogle ScholarPubMed
Simsic, JM, Bradley, SM, Stroud, MR, Atz, AM. Risk factors for interstage death after the Norwood Procedure. Pediatr Cardiol 2005; 26:400–403.CrossRefGoogle ScholarPubMed
Delmo Walter, EM, Hübler, M, Alexi-Meskishvili, V, et al. Staged surgical palliation in hypoplastic left heart syndrome and its variants. J Card Surg 2009; 24:383–391.CrossRefGoogle ScholarPubMed
Rudd, NA, Frommelt, MA, Tweddell, JS, et al. Improving interstage survival after Norwood operation: outcomes from 10 years of home monitoring. J Thorac Cardiovasc Surg 2014; 148:1540–1547.CrossRefGoogle ScholarPubMed