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Transcatheter closure of post-procedural right ventricular pseudoaneurysms in a neonate with pulmonary atresia

Published online by Cambridge University Press:  09 February 2021

Sheng-Ling Jan*
Affiliation:
Department of Pediatrics, Children’s Medical Center, Taichung Veterans General Hospital, Taichung; School of Medicine, National Yang-Ming University, Taipei; and School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
Chen-Hao Wu
Affiliation:
Department of Radiology, Taichung Veterans General Hospital, Taichung, Taiwan
Ming-Chih Lin
Affiliation:
Department of Pediatrics, Children’s Medical Center, Taichung Veterans General Hospital, Taichung; School of Medicine, National Yang-Ming University, Taipei; and School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
*
Author for correspondence: Sheng-Ling Jan, MD, PhD, Department of Pediatrics, Children’s Medical Center, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, Taichung 40705, Taiwan. Tel.: + 886-4-23741259; Fax: + 886-4-23741359. E-mail: [email protected]

Abstract

Post-procedural right ventricular pseudoaneurysm is a rare but life-threatening complication of interventional catheterisation. We describe a 3-day-old newborn who underwent transcatheter intervention for pulmonary atresia with a complication of right ventricular pseudoaneurysms, and transcatheter embolisation of the pseudoaneurysms was performed at 3-week-old. It is the first described case that receives transcatheter closure of right ventricular pseudoaneurysms in a newborn with a favourable outcome.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Alwi, M, Geetha, K, Bilkis, AA, et al. Pulmonary atresia with intact ventricular septum percutaneous radiofrequency-assisted valvotomy and balloon dilation versus surgical valvotomy and Blalock Taussig shunt. J Am Coll Cardiol 2000; 35: 468476.10.1016/S0735-1097(99)00549-5CrossRefGoogle ScholarPubMed
Gibbs, JL, Blackburn, ME, Uzun, O, Dickinson, DF, Parsons, JM, Chatrath, RR. Laser valvotomy with balloon valvoplasty for pulmonary atresia with intact ventricular septum: five years’ experience. Heart 1997; 77: 225228.10.1136/hrt.77.3.225CrossRefGoogle ScholarPubMed
Alwi, M, Budi, RR, Mood, MC, Leong, MC, Samion, H. Pulmonary atresia with intact septum: the use of Conquest Pro coronary guidewire for perforation of atretic valve and subsequent interventions. Cardiol Young 2013; 23: 197202.10.1017/S1047951112000595CrossRefGoogle ScholarPubMed
Lamers, L, Garn, B, Ellsworth, E, Graziano, JN. Decreased incidence of right-ventricular outflow tract complications using a retrograde snare technique for radiofrequency pulmonary valve perforation. Pediatr Cardiol 2012; 33: 12751280.10.1007/s00246-012-0295-7CrossRefGoogle ScholarPubMed
Bakhru, S, Marathe, S, Saxena, M, et al. Transcatheter pulmonary valve perforation using chronic total occlusion wire in pulmonary atresia with intact ventricular septum. Ann Pediatr Cardiol 2017; 10: 510.Google ScholarPubMed
Patil, NC, Saxena, A, Gupta, SK, et al. Perforating the atretic pulmonary valve with CTO hardware: technical aspects. Catheter Cardiovasc Interv 2016; 88: E145E150.10.1002/ccd.25760CrossRefGoogle ScholarPubMed
Chubb, H, Pesonen, E, Sivasubramanian, S, et al. Long-term outcome following catheter valvotomy for pulmonary atresia with intact ventricular septum. J Am Coll Cardiol 2012; 59: 14681476.10.1016/j.jacc.2012.01.022CrossRefGoogle ScholarPubMed
Marasini, M, Gorrieri, PF, Tuo, G, et al. Long-term results of catheter-based treatment of pulmonary atresia and intact ventricular septum. Heart 2009; 95: 15201524.10.1136/hrt.2009.169078CrossRefGoogle ScholarPubMed
Herbert, C, Ikemba, C, Nugent, A. Device closure of a pseudoaneurysm of the right ventricular outflow tract in an infant with right ventricle-to-pulmonary artery homograft. Catheter Cardiovasc Interv 2014; 83: 587590.10.1002/ccd.24990CrossRefGoogle Scholar
Alkhouli, M, Waits, B, Chaturvedi, A, Ling, FS. Percutaneous closure of right ventricular pseudoaneurysm. JACC Cardiovasc Interv 2015; 8: e147e148.10.1016/j.jcin.2015.04.019CrossRefGoogle ScholarPubMed