Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-27T19:06:44.711Z Has data issue: false hasContentIssue false

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: [email protected]

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

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

1.Planche, C, Bruniaux, J, Lacour -Gayet, F, Kachener, J, Binet, JP, Sidi, D, Villain, E. Switch operation for transposition of the great arteries in neonates: a study of 120 patients. J Thorac Cardiovasc Surg. 1988; 96: 354363.CrossRefGoogle ScholarPubMed
2.Kirklin, JW, Blackstone, EH, Tchervenkov, CI, Castaned, AR. clinical outcomes after the arterial switch operation for trans position. Patient, support, procedural, and institutional risk factors, congenital Heart Surgeons Society. Circulation 1992; 86: 15011515.CrossRefGoogle Scholar
3.Beall, AC JrJones, JW, Guinn, GA, Svensson, LG, Nahas, C. Cardiopulmonary bypass in patients with previously completed stroke. Ann Thor Surg. 1993; 55: 13831384.CrossRefGoogle ScholarPubMed
4.Waldman, JD, Paul, MH, Newfield, EA, Muster, AJ, Idriss, FS. Transposition of the great arteries with intact ventricular septum and patent ductus arteriosus. Am J Cardiol. 1977; 39: 232238.Google Scholar
5.Earle, GF, Sade, RM and Riopel, DA. Banding of patent ductus arteriosus for cyanotic congenital heart disease. Am Heart J. 1984; 108: 173175.CrossRefGoogle ScholarPubMed