Functional Critical Aortic Stenosis with Transient Retrograde Flow in a Neonate with Left Diaphragmatic Hernia | Zendy

Kobayashi Daisuke | Zendy; Pettersen Michael D. | Zendy; Aggarwal Sanjeev | Zendy

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Functional Critical Aortic Stenosis with Transient Retrograde Flow in a Neonate with Left Diaphragmatic Hernia

Author(s) -

Kobayashi Daisuke,

Pettersen Michael D.,

Aggarwal Sanjeev

Publication year - 2012

Publication title -

congenital heart disease

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.828

H-Index - 42

eISSN - 1747-0803

pISSN - 1747-079X

DOI - 10.1111/j.1747-0803.2012.00679.x

Subject(s) - medicine , ductus arteriosus , congenital diaphragmatic hernia , cardiology , aortic arch , diaphragmatic hernia , stenosis , hemodynamics , interrupted aortic arch , blood flow , aorta , surgery , hernia , fetus , pregnancy , biology , genetics

We report a neonate with left congenital diaphragmatic hernia and severe left ventricular dysfunction, in whom the blood flow in the transverse arch and its branches was supported in a retrograde fashion by patent ductus arteriosus. There was only minimal antegrade flow across the aortic valve and hemodynamic physiology resembled critical aortic stenosis, necessitating the immediate use of prostaglandin E1 infusion to maintain the patent ductus arteriosus.

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