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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.