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Catheter Interventional Closure of a Large Right Pulmonary Artery-to-Left Atrial Communication in a Neonate

Burkamp, Antje ; Ghisla, Renzo ; Knirsch, Walter ; Kretschmar, Oliver ; Balmer, Christian

In: Pediatric Cardiology, 2012, vol. 33, no. 8, p. 1440-1442

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    Titre
    • Catheter Interventional Closure of a Large Right Pulmonary Artery-to-Left Atrial Communication in a Neonate
    Auteur
    • Burkamp, Antje. Department of Pediatric Cardiology, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland
    • Ghisla, Renzo. Children's Hospital, St. Gallen, Switzerland
    • Knirsch, Walter. Department of Pediatric Cardiology, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland
    • Kretschmar, Oliver. Department of Pediatric Cardiology, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland
    • Balmer, Christian. Department of Pediatric Cardiology, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland
    Type de document
    • Postprint
    Identifiant OAI-PMH
    • oai:doc.rero.ch:320513
    Summary
    Right pulmonary artery-to-left atrial communication is a rare congenital vascular malformation that results in a right-to-left shunting. This report describes the case history of a neonate with a large right pulmonary artery-to-left atrial connection resulting in cyanosis and severe heart failure who underwent successful early catheter interventional therapy. In the neonate, this lesion can be diagnosed accurately using transthoracic echocardiography. Closure of the communication can be achieved even in infants via percutaneous interventional catheterization with a low procedure-related risk and a good midterm follow-up result