Coil occlusion of a congenital left ventricular aneurysm in a newborn

Hofbeck, Michael; Sieverding, Ludger; Grözinger, Gerd; Kagan, Karl Oliver

doi:10.1002/ccd.28849

Cited by 3 publications

(2 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They are relatively small, become progressively softer from their distal to proximal end rather than being of uniform stiffness, exhibit a tight conformational structure and have a more robust stretch-resistance platform. Normally indicated for aneurysms and arterial and venous embolization in the peripheral vasculature, they have proven to be safe for endovascular procedures [22,34].…”

Section: Discussionmentioning

confidence: 99%

“…In contrast to endovascular occlusion procedures, a vascular plug requiring thrombus formation inside the device could not be used to achieve complete occlusion. We therefore decided to use detachable large-volume coils, which can be applied via microcatheters (Ruby Coil Penumbra ® , Alameda California USA) for the occlusion of cardiovascular malformations [22,23]. Since these coils allow a high packing density, they offer a high probability of primary airtight occlusion and complete abolishment of air leakage.…”

Section: Case Presentationmentioning

confidence: 99%

See 1 more Smart Citation

Interventional closure of a bronchopleural fistula in a 2 year old child with detachable coils

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background Bronchopleural fistula (BPF) is a severe complication following pneumonia or pulmonary surgery, resulting in persistent air leakage (PAL) and pneumothorax. Surgical options include resection, coverage of the fistula by video-assisted thoracoscopic surgery (VATS), or pleurodesis. Interventional bronchoscopy is preferred in complex cases and involves the use of sclerosants, sealants and occlusive valve devices. Case presentation A 2.5-year-old girl was admitted to our hospital with persistent fever, cough and dyspnoea. Clinical and radiological examination revealed right-sided pneumonia and pleural effusion. The child was started on antibiotics, and the effusion was drained by pleural drainage. Following removal of the chest tube, the child developed tension pneumothorax. Despite insertion of a new drain, the air leak persisted. Thoracoscopic debridement with placement of another new drain was performed after 4 weeks, without abolishment of the air leak. Bronchoscopy with bronchography revealed a BPF in right lung segment 3 (right upper-lobe anterior bronchus). We opted for an interventional approach that was performed under general anaesthesia during repeat bronchoscopy. Following bronchographic visualisation of the fistula, a 2.7 French microcatheter was placed in right lung segment 3 (upper lobe), allowing occlusion of the fistula by successive implantation of 4 detachable high-density packing volume coils, which were placed into the fistula. Subsequent bronchography revealed no evidence of residual leakage, and the chest tube was removed 2 days later. The chest X-ray findings normalized, and follow-up over 4 years was uneventful. Conclusions Bronchoscopic superselective occlusion of BPF using detachable high-density packing large-volume coils was a successful minimally invasive therapeutic intervention performed with minimal trauma in this child and has not been reported thus far. In our small patient, the short interventional time, localized intervention and minimal damage in the lung seemed superior to the corresponding outcomes of surgical lobectomy or pleurodesis in a young growing lung, enabling normal development of the surrounding tissue. Follow-up over 4 years did not show any side effects and was uneventful, with normal lung-function test results to date.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Case Presentationmentioning

confidence: 99%

Interventional closure of a bronchopleural fistula in a 2 year old child with detachable coils

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

Closure of a Late‐Onset Iatrogenic Left Ventricular Pseudoaneurysm Caused by Erosion of an Apical Muscular VSD Device

Haddad,

Bou Houssein,

Adel Hassan

et al. 2024

Cathet Cardio Intervent

View full text Add to dashboard Cite

We report the case of a 3‐year‐old asymptomatic girl (12 kg, 96 cm) who was diagnosed with a large iatrogenic left ventricular pseudoaneurysm (LVP) on follow‐up ultrasound, 14 months after apical muscular ventricular septal defect (VSD) closure with a 10 mm Amplatzer Muscular VSD occluder (Abbott, USA) due to device erosion. The LVP was successfully occluded using detachable Penumbra coils, with complete thrombo‐exclusion confirmed at 12‐month follow‐up.

show abstract

Congenital Aneurysm/Diverticulum of the Left Ventricle in the Newborn

2020

View full text Add to dashboard Cite

Left ventricular aneurysms and diverticula are severe congenital heart defects. The low prevalence and mostly asymptomatic course of these anomalies do not always allow us to suspect these defects in time and to differentiate them among themselves. That is why early detection of pathology with the help of fetal echocardiography is a key factor in determination of the tactics of patients’ management. The paper reviews the literature and describes a complex case of prenatally diagnosed left ventricular aneurysm.

show abstract

Coil occlusion of a congenital left ventricular aneurysm in a newborn

Cited by 3 publications

References 15 publications

Interventional closure of a bronchopleural fistula in a 2 year old child with detachable coils

Interventional closure of a bronchopleural fistula in a 2 year old child with detachable coils

Closure of a Late‐Onset Iatrogenic Left Ventricular Pseudoaneurysm Caused by Erosion of an Apical Muscular VSD Device

Congenital Aneurysm/Diverticulum of the Left Ventricle in the Newborn

Contact Info

Product

Resources

About