Coarctation of the Aorta as a Complication of Surgical Ligation of Patent Ductus Arteriosus in a Premature Infant

Qasim, Amna; Dasgupta, Soham; Jain, Sunil K.; Jiwani, Amyn K.; Aly, Ashraf M.

doi:10.1155/2017/2647353

Cited by 4 publications

(2 citation statements)

References 6 publications

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“…[ 20 21 22 ] The former is due to the sudden closure of the low resistance pulmonary circuit and leads to diastolic hypertension, while the latter is attributed to an acute decrease in preload that is particularly aggravated in intravascularly volume-depleted patients secondary to preoperative fluid restriction and aggressive diuresis. This preload-dependent systolic dysfunction manifests as hypotension and is poorly tolerated[ 23 24 ] Iatrogenic coarctation due to clipping of DTA is a known complication after ligation[ 25 26 ] Inadvertent ligation of the left pulmonary artery is a very rare complication with an estimated incidence of 0.001%. [ 27 ] …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Anesthesia protocols for “bedside” preterm patent ductus arteriosus ligation

Aggarwal

Agarwal

Joshi

2021

Annals of Pediatric Cardiology

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Background : Hemodynamically significant patent ductus arteriosus (PDA) is frequently encountered in preterm infants sometimes requiring surgical attention. Although PDA ligation is regularly performed in the operating room, conducting it at the bedside in a neonatal intensive care unit (NICU) and its anesthetic management remains challenging. Aim : We aim to discuss the anesthetic considerations in patients undergoing bedside PDA ligation and describe our experience highlighting the feasibility and safety of this procedure. Setting and Design : The study was conducted in the NICU in a tertiary care hospital; This was a retrospective, observational study. Methods : Preterm infants scheduled for bedside PDA ligation using a predefined anesthesia protocol between August 2005 and October 2020 were included. Statistical Analysis Used: Quantitative data were presented as median with interquartile range and categorical data were presented as numbers and percentage thereof. Results : Sixty-six premature infants underwent bedside PDA ligation. Thirty-day mortality was 4.5% (3 infants), but there were no procedural deaths. One (1.5%) patient had intraoperative endotracheal tube dislodgement. Three (4.5%) infants had postoperative pneumothorax requiring an additional chest tube insertion. Twenty-one (32%) patients required initiation of postoperative inotrope/vasodilator therapy within 6 h. Three postligation cardiac syndromes (≥ Grade-III mitral regurgitation with left ventricular dysfunction and hypotension) occurred. Conclusions : Although anesthesia for preterm neonates undergoing bedside PDA ligation poses unique challenges, it can be safely conducted by following a predetermined standardized anesthesia protocol. Its successful conduct requires utmost vigilance and pristine understanding of the principles of neonatal and cardiac care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Anesthesia protocols for “bedside” preterm patent ductus arteriosus ligation

Aggarwal

Agarwal

Joshi

2021

Annals of Pediatric Cardiology

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Langzeitkomplikationen nach chirurgischem Ductus-arteriosus-Verschluss bei Früh- und Reifgeborenen

Bührer

2021

Z Herz- Thorax- Gefäßchir

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Prevalência de persistência do canal arterial em neonatos em um hospital público

Nascimento¹,

Silva²,

Oliveira

et al. 2019

Av. enferm.

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Objetivo: identificar a prevalência de persistência do canal arterial (PCA) em neonatos em um hospital público.Metodologia: trata-se de um estudo quantitativo, observacional e de caráter descritivo. Foram coletados dados de 313 prontuários de recém-nascidos, observando a ocorrência do diagnóstico de PCA em uma amostra de neonatosinternados em um hospital público do norte de Minas Gerais, Brasil no período de agosto de 2015 a agosto de 2016, até o 7º dia de vida. As seguintes variáveis foram analisadas: idade gestacional, peso ao nascer, Apgar 1’ e 5’, desconfortorespiratório, uso de equipamentos de suporte ventilatório e utilização de medicamentos para a função respiratória. Os dados coletados foram processados estatisticamente através do programa Minitab. Resultados: la incidência da PCA é maior em prematuro quando a relação idade gestacional e peso ao nascer são inversamente proporcionais à PCA. A prevalência neste estudo foi de 2,6 % de recém nascidos com a cardiopatia, sendo que destes foi observado o desconforto respiratório em 4,3 % neonatos.Conclusão: a prevalência do canal arterial na amostra foi relativamente baixa, dentre os fatores associados ao aparecimento da cardiopatia, mas as alterações no quinto minuto de Apgar mostraram ser estatisticamente significantes. Sendo assim, identificar a ocorrência do diagnóstico da PCA e conhecer as repercussões respiratórias, pode auxiliar na programação da assistência e, em especial, favorecer a melhoria da conduta de enfermagem.

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Coarctation of the Aorta as a Complication of Surgical Ligation of Patent Ductus Arteriosus in a Premature Infant

Cited by 4 publications

References 6 publications

Anesthesia protocols for “bedside” preterm patent ductus arteriosus ligation

Anesthesia protocols for “bedside” preterm patent ductus arteriosus ligation

Langzeitkomplikationen nach chirurgischem Ductus-arteriosus-Verschluss bei Früh- und Reifgeborenen

Prevalência de persistência do canal arterial em neonatos em um hospital público

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