Transvenous closure of large aortopulmonary collateral

Aortopulmonary collaterals (APCs) are occluded either preoperatively or at the time of cardiac surgery in patients with pulmonary atresia and ventricular septal defect (PAVSD). If left untreated, APCs are an important cause of deterioration in the early postoperative period. We present here an unusu...

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Autores principales: Barwad, Parag W, Gulati, Gurpreet Singh, Gupta, Saurabh K, Saxena, Anita, Airan, Balram, Ramakrishnan, Sivasubramaniam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959058/
https://www.ncbi.nlm.nih.gov/pubmed/24701083
http://dx.doi.org/10.4103/0974-2069.126549
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author Barwad, Parag W
Gulati, Gurpreet Singh
Gupta, Saurabh K
Saxena, Anita
Airan, Balram
Ramakrishnan, Sivasubramaniam
author_facet Barwad, Parag W
Gulati, Gurpreet Singh
Gupta, Saurabh K
Saxena, Anita
Airan, Balram
Ramakrishnan, Sivasubramaniam
author_sort Barwad, Parag W
collection PubMed
description Aortopulmonary collaterals (APCs) are occluded either preoperatively or at the time of cardiac surgery in patients with pulmonary atresia and ventricular septal defect (PAVSD). If left untreated, APCs are an important cause of deterioration in the early postoperative period. We present here an unusual case with a large residual APC causing refractory low-output state in the early postoperative period. Usual arterial approach failed due to extensive angulation with ostial narrowing. The large residual APC was successfully closed with an Amplatzer duct occluder (ADO) device delivered through the transvenous route.
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spelling pubmed-39590582014-04-03 Transvenous closure of large aortopulmonary collateral Barwad, Parag W Gulati, Gurpreet Singh Gupta, Saurabh K Saxena, Anita Airan, Balram Ramakrishnan, Sivasubramaniam Ann Pediatr Cardiol Case Report Aortopulmonary collaterals (APCs) are occluded either preoperatively or at the time of cardiac surgery in patients with pulmonary atresia and ventricular septal defect (PAVSD). If left untreated, APCs are an important cause of deterioration in the early postoperative period. We present here an unusual case with a large residual APC causing refractory low-output state in the early postoperative period. Usual arterial approach failed due to extensive angulation with ostial narrowing. The large residual APC was successfully closed with an Amplatzer duct occluder (ADO) device delivered through the transvenous route. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC3959058/ /pubmed/24701083 http://dx.doi.org/10.4103/0974-2069.126549 Text en Copyright: © Annals of Pediatric Cardiology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Barwad, Parag W
Gulati, Gurpreet Singh
Gupta, Saurabh K
Saxena, Anita
Airan, Balram
Ramakrishnan, Sivasubramaniam
Transvenous closure of large aortopulmonary collateral
title Transvenous closure of large aortopulmonary collateral
title_full Transvenous closure of large aortopulmonary collateral
title_fullStr Transvenous closure of large aortopulmonary collateral
title_full_unstemmed Transvenous closure of large aortopulmonary collateral
title_short Transvenous closure of large aortopulmonary collateral
title_sort transvenous closure of large aortopulmonary collateral
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959058/
https://www.ncbi.nlm.nih.gov/pubmed/24701083
http://dx.doi.org/10.4103/0974-2069.126549
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