ABSTRACT
El presente caso describe un lactante menor femenino de 9 meses de edad con agenesia pulmonar asociada a persistencia del conducto arterioso y su tratamiento por vía percutánea. Este paciente ingreso a nuestro centro con diagnóstico de neumonía izquierda y luego de ser evaluado se confirmó el diagnóstico de agenesia pulmonar izquierda asociado a persistencia del conducto arterioso y se plantea el cierre percutáneo. En nuestro centro es el primer caso reportado de esta anomalía teniendo una evolución satisfactoria durante cuatro años.
We describe a case pulmonary agenesia associated with a patent ductus arteriosus in infant 9 month old female and its percutaneus treatment. This patient came to our center with a previous diagnosis of left pneumonia and after a complete evaluation, left pulmonary agenesis and Patent Ductus Arteriosus were diagnosed. Due to this particular condition endovascular closure was indicated and complete closure of the defect was achieved shortly after years of follow-up, the patient is cardiovascular asympthomatic.
Subject(s)
Humans , Female , Infant , Ductus Arteriosus, Patent/pathology , Pneumonia/pathology , Pneumonia/therapy , Lung/abnormalities , Morphogenesis , VenezuelaABSTRACT
The association of a right aortic arch with an ipsilateral patent ductus arteriosus is rare, especially when there are no other intracardiac anomalies. We report three female patients aged 26, 35 and 9 years with this combination in whom previous attempts at surgical closure by thoracotomy and sternotomy were unsuccessful and who subsequently underwent successful percutaneous closure of the defects using Amplatzer devices. In two patients, although angiography demonstrated the presence of type-A patent ductus arteriosus, it was not possible to determine the minimum diameter accurately and it was necessary to measure it using a sizing balloon. An Amplatzer duct occluder was used in two patients and an Amplatzer muscular ventricular septal defect occluder, in the other. In all patients, full closure was confirmed in the catheterization laboratory and the patients were discharged on the same day with no complications. Percutaneous closure of a right patent ductus arteriosus associated with a right aortic arch is feasible, safe and effective.
Subject(s)
Abnormalities, Multiple/surgery , Aorta, Thoracic/abnormalities , Aorta, Thoracic/surgery , Ductus Arteriosus, Patent/surgery , Prostheses and Implants , Adult , Child , Embolization, Therapeutic/instrumentation , Equipment Design , Female , HumansABSTRACT
The association of a right aortic arch with an ipsilateralpatent ductus arteriosus is rare, especially when there are no other intracardiac anomalies. We report three female patients aged 26, 35 and 9 years with this combination in whom previous attempts at surgical closure by thoracotomy and sternotomy were unsuccessful and who subsequently underwent successful percutaneous closure of the defects using Amplatzer devices. In two patients, although angiography demonstrated the presence of type-A patent ductus arteriosus, it was not possible to determine the minimum diameter accurately and it was necessary to measure it using a sizing balloon. An Amplatzer duct occluder was used in two patients and an Amplatzer muscular ventricular septal defect occluder, in the other. In all patients, full closure was confirmed in the catheterization laboratory and the patients were discharged on the same day with no complications. Percutaneous closure of a right patent ductus arteriosus associated with a right aortic arch is feasible, safe and effective.
Subject(s)
Aorta, Thoracic , Ductus Arteriosus, PatentABSTRACT
La asociación de arco aórtico a la derecha con persistencia del conducto arterioso ipsolateral es rara, principalmente cuando no hay otras anomalías intracardiacas asociadas. Comunicamos los casos de 3 pacientes del sexo femenino de 26, 35 y 9 años con esta enfermedad e intentos previos infructuosos de cierre quirúrgico a través de toracotomía y esternotomía, a quienes se realizó cierre percutáneo del defecto con dispositivos tipo Amplatzer con éxito. En 2 pacientes, aunque las angiografías documentaron la presencia de persistencia del conducto arterioso tipo A, no se pudo definir bien el diámetro mínimo y fue necesario determinarlo con el balón medidor. Se implantaron Amplatzer Duct Occluder en 2 pacientes y Amplatzer para comunicación interventricular muscular en el otro. En todos se corroboró el cierre completo del defecto en la sala de hemodinámica y fueron dados de alta sin complicaciones. El cierre percutáneo del conducto derecho en presencia de arco aórtico a la derecha es factible, seguro y efectivo
The association of a right aortic arch with an ipsilateral patent ductus arteriosus is rare, especially when there are no other intracardiac anomalies. We report three female patients aged 26, 35 and 9 years with this combination in whom previous attempts at surgical closure by thoracotomy and sternotomy were unsuccessful and who subsequently underwent successful percutaneous closure of the defects using Amplatzer devices. In two patients, although angiography demonstrated the presence of type-A patent ductus arteriosus, it was not possible to determine the minimum diameter accurately and it was necessary to measure it using a sizing balloon. An Amplatzer duct occluder was used in two patients and an Amplatzer muscular ventricular septal defect occluder, in the other. In all patients, full closure was confirmed in the catheterization laboratory and the patients were discharged on the same day with no complications. Percutaneous closure of a right patent ductus arteriosus associated with a right aortic arch is feasible, safe and effective
Subject(s)
Male , Female , Child , Adult , Humans , Ductus Arteriosus, Patent/surgery , Cardiac Catheterization/methods , Cardiac Catheterization/instrumentation , Angiography/methods , Aortography/methods , Prostheses and ImplantsABSTRACT
Se realizó un estudio retrospectivo en el Hospital de Niños "J.M. de Los Ríos", Caracas-Venezuela, entre los años 1998-2002, incluyéndose a todos los pacientes con diagnóstico de endocarditis infecciosa, para conocer la incidencia de la enfermedad, así como las características de los grupos de edad afectados, hallazgos ecocardiográficos y microbiológicos, tratamiento y evolución. Se identificó un total de 74 casos, sólo 20 presentaban cardiopatías, constituyendo los lactantes el grupo más afectado. La positividad de los hemocultivos fue baja, aislándose con mayor frecuencia al Staphylococcus coagulasa negativo. Más de la mitad de los niños tenían enfermedad infecciosa subyacente, portaban catéter venoso central y presentaban lesiones en cavidades derechas. Pocos pacientes ameritaron tratamiento quirúrgico y fallecieron 8 niños, generalmente por sepsis. Se concluye que hay una alta incidencia de endocarditis infecciosa en este Centro que afecta mayormente a lactantes sin cardiopatías pero portadores de catéteres venosos centrales
