Interventional re‐opening of a PDA for reverse potts shunt circulation after ADO I implantation in a child | Zendy

Schubert Stephan | Zendy; Peters Björn | Zendy; Berger Felix | Zendy

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Interventional re‐opening of a PDA for reverse potts shunt circulation after ADO I implantation in a child

Author(s) -

Schubert Stephan,

Peters Björn,

Berger Felix

Publication year - 2017

Publication title -

catheterization and cardiovascular interventions

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.988

H-Index - 116

eISSN - 1522-726X

pISSN - 1522-1946

DOI - 10.1002/ccd.26680

Subject(s) - medicine , shunt (medical) , surgery , stent , perforation , balloon , left pulmonary artery , ductus arteriosus , pulmonary artery , cardiology , materials science , punching , metallurgy

We report interventional re‐opening of a PDA for reverse Potts shunt circulation 12 months after closure in a 3.8 year old child, suffering from right ventricular (RV) failure due to suprasystemic pulmonary artery hypertension (PAH) after ADO I implantation. After ex vivo simulation, perforation through the mesh of the ADO I with the use of transseptal needle, wire looping (AO‐PA), balloon dilatation, stent implantation (Palmaz 6 mm) and post dilatation, a reverse Pott‐shunt circulation was established. A follow‐up period of 11 months was achieved with preserved RV function and reverse Pott shunt circulation maintained a post ductal saturation of 94–88%. © 2016 Wiley Periodicals, Inc.

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