Closure of patent ductus arteriosus during open-heart surgery

Bhati, Bijal S.; Nandakumaran, C.P.; Shatapathy, Pitambar; John, Stanley; Cherian, G

doi:10.1016/s0022-5223(19)41856-4

Cited by 32 publications

(8 citation statements)

References 6 publications

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“…McGoon has stated that by using such a technique, there is no need for establishing the patency of the ductus arteriosus prior to surgery (18). This technique, however, may lead to serious embarrassment of cardiac function due to the traction necessarily placed on the pulmonary artery, and may have serious hemorrhagic complications if the ductus is under high pressure, calcified, and friable (2,3). At the very least, preoperative diagnosis by a simple method would minimize operating time.…”

Section: Discussionmentioning

confidence: 99%

“…Also, it may be too insensitive to detect smaller shunts (21) that, by themselves, may have little hemodynamic consequence, but that may add to the cardiac burden imposed by other associated lesions. Failure to detect even a smaller PDA prior to the initiation of cardiopulmonary bypass may have disastrous complications, such as flooding of the pulmonary vasculature, or cerebral hypoxia due to the acute aortic runoff (2,3).…”

Section: Discussionmentioning

confidence: 99%

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Patent ductus arteriosus in adult patients with aortic valvular disease: The importance of routine screening for a left‐to‐right shunt at cardiac catheterization

Mehl

Kronzon

Glassman

1976

Cathet. Cardiovasc. Diagn.

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Two patients, catheterized primarily for the preoperative assessment of clinically apparent aortic stenosis and insufficiency, were found to have a patent ductus arteriosus as well at cardiac catheterization. The association of aortic valve disease and patent ductus arteriosus is reviewed, and the importance of making the diagnosis prior to aortic valve replacement is stressed, emphasizing the routine use of the hydrogenplatinum electrode system.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Patent ductus arteriosus in adult patients with aortic valvular disease: The importance of routine screening for a left‐to‐right shunt at cardiac catheterization

Mehl

Kronzon

Glassman

1976

Cathet. Cardiovasc. Diagn.

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“…After that, some authors describe hybrid procedure (combined surgical and interventional approach) for balloon pulmonary valvuloplasty. 46,47 However, some other authors describe transthoracic per-ventricular balloon pulmonary valvuloplasty under echocardiographic guidance instead of using percutaneous approach. 48,49 Nowadays, it is possible to detect structural heart defects in a fetus as early as 20 weeks of gestation.…”

Section: Future Prospectmentioning

confidence: 99%

Percutaneous balloon valvuloplasty of pulmonary valve stenosis: state of the art and future prospects

Talukder¹,

Li²,

Liang³

et al. 2020

Int Surg J

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This study is aimed to delineate readers with an overview of percutaneous balloon pulmonary valvuloplasty (PBPV) of pulmonary valve stenosis (PVS) and highlighting outcome based on influential and recent studies. It has been four decades since Kan et al first introduce PBPV. Since then, PBPV has recognized as a gold standard therapy for PVS of all ages. Nowadays, PBPV is practiced for a broad range of indication such as PVS, PV dysplasia and pulmonary atresia. Typically, PBPV is recommended when gradient across the PV is >50 mmHg. The procedure involves the placement of one or more balloon catheters across the stenotic PV with the guidance of a guidewire; thereafter, inflation of the balloons is done by pressure, thus producing valvotomy. Nowadays, PBPV is done by echocardiographic guidance, but previously, it was done by fluoroscopic guidance. The main disadvantage of fluoroscopy was the radiation injury of patients. The recently recommended balloon/annulus ratio is 1.2 to 1.25. Following the procedure, the dramatic reduction of pressure gradient, free motion of the PV leaflets with less doming, the rise of cardiac output have been noted, whereas complications may occur but are unusual and minimal. Significant predictors of restenosis include balloon/annulus ratio <1.2 and immediate post-PBPV gradient ≥30 mmHg. Only a few percentages of patients needed repeat PBPV. Long-term follow-up results are surprisingly excellent. In conclusion, it is our opinion that PBPV is equally successful in patients of all ages, while worldwide recognized studies prove the safety, feasibility, and effectiveness. However, for early detection of any complication, life-long clinical follow-up is mandatory.

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“…The first "hybrid" procedure was described in 1972 (31). Although never referred to as a hybrid procedure, what we would now refer to as hybrid techniques were utilized to facilitate patent ductus arteriosus closure.…”

Section: Hybrid Proceduresmentioning

confidence: 99%

Innovative interventional catheterization techniques for congenital heart disease

Zampi

Whiteside

2018

Transl Pediatr

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Since 1929, when the first cardiac catheterization was safely performed in a human by Dr. Werner Forssmann (on himself), there has been a rapid progression of cardiac catheterization techniques and technologies. Today, these advances allow us to treat a wide variety of patients with congenital heart disease using minimally invasive techniques; from fetus to infants to adults, and from simple to complex congenital cardiac lesions. In this article, we will explore some of the exciting advances in cardiac catheterization for the treatment of congenital heart disease, including transcatheter valve implantation, hybrid procedures, biodegradable technologies, and magnetic resonance imaging (MRI)-guided catheterization. Additionally, we will discuss innovations in imaging in the catheterization laboratory, including 3D rotational angiography (3DRA), fusion imaging, and 3D printing, which help to make innovative interventional approaches possible.

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Closure of patent ductus arteriosus during open-heart surgery

Cited by 32 publications

References 6 publications

Patent ductus arteriosus in adult patients with aortic valvular disease: The importance of routine screening for a left‐to‐right shunt at cardiac catheterization

Patent ductus arteriosus in adult patients with aortic valvular disease: The importance of routine screening for a left‐to‐right shunt at cardiac catheterization

Percutaneous balloon valvuloplasty of pulmonary valve stenosis: state of the art and future prospects

Innovative interventional catheterization techniques for congenital heart disease

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