Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-30T21:18:54.305Z Has data issue: false hasContentIssue false
  • English
  • Français

Percutaneous closure of an aortopulmonary window using Amplatzer Duct Occluder II: Additional Sizes: the first reported case

Published online by Cambridge University Press:  21 November 2016

Roland Fiszer ,
Karol Zbroński  and
Małgorzata Szkutnik
Roland Fiszer
Affiliation:
Department of Congenital Heart Diseases and Pediatric Cardiology, Silesian Center for Heart Diseases, Medical University of Silesia, Zabrze, Poland
Karol Zbroński*
Affiliation:
Department of Congenital Heart Diseases and Pediatric Cardiology, Silesian Center for Heart Diseases, Medical University of Silesia, Zabrze, Poland
Małgorzata Szkutnik
Affiliation:
Department of Congenital Heart Diseases and Pediatric Cardiology, Silesian Center for Heart Diseases, Medical University of Silesia, Zabrze, Poland
*
Correspondence to: K. Zbroński, MD, Department of Congenital Heart Diseases and Pediatric Cardiology, Silesian Center for Heart Diseases, ul. Szpitalna 2, 41-800 Zabrze, Poland. Tel/Fax: +48 32 27 13 401; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

To date, there are no reported cases of the Amplatzer Duct Occluder II: Additional Sizes’ use in percutaneous closure of an aortopulmonary window. We report a case of percutaneous closure of an aortopulmonary window in a 4.5-month-old, 6 kg child. Owing to the patient’s low weight, high risk of damage to the pulmonary valve, as well as the possibility of aortic and pulmonary artery obstruction, classic implants were deemed unsuitable and a decision was made to use the Amplatzer Duct Occluder II: Additional Sizes. The implant performed very well – the soft waist filled the aortopulmonary connection and both retention discs were properly shaped and pressed against vessel walls. Echocardiogram performed 12 hours after the procedure confirmed a correct occluder position. Low-profile retention discs had no impact on pulmonary valve function, despite the defect’s proximity to the valve. No obstruction of the aortic or pulmonary artery lumen was noted. The Amplatzer Duct Occluder II: Additional Size implant is a safe and useful device for percutaneous closure of an aortopulmonary window in a carefully selected group of patients.

Keywords

Paediatric interventionCHDaortopulmonary windowinterventional devices
Type
Brief Report
Information
Cardiology in the Young , Volume 27 , Issue 4 , May 2017 , pp. 812 - 815
Check for updates
Copyright
© Cambridge University Press 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Stamato, T, Benson, LN, Smallhorn, JF, Freedom, RM. Transcatheter closure of an aortopulmonary window with a modified double umbrella occluder system. Cathet Cardiovasc Diagn 1995; 35: 165–167.Google Scholar
2. Atiq, M, Rashid, N, Kazmi, KA, Qureshi, SA. Closure of aortopulmonary window with amplatzer duct occluder device. Pediatr Cardiol 2003; 24: 298–299.Google Scholar
3. Bialkowski, J, Akdeniz, C, Celebi, A. Transcatheter closure in two rare cases of left-to-right shunt with Cardio-O-Fix occluders. Cardiol Young 2012; 22: 96–99.Google Scholar
4. Kosmač, B, Eicken, A, Kühn, A, Heinrich, M, Ewert, P. Percutaneous device closure of an aortopulmonary window in a small infant. Int J Cardiol 2013; 168: 102–103.Google Scholar
5. Trehan, V, Nigam, A, Tyagi, S. Percutaneous closure of nonrestrictive aortopulmonary window in three infants. Catheter Cardiovasc Interv 2008; 71: 405–411.CrossRefGoogle ScholarPubMed
6. Noonan, PM, Desai, T, Degiovanni, JV. Closure of an aortopulmonary window using the Amplatzer Duct Occluder II. Pediatr Cardiol 2013; 34: 712–714.Google Scholar
7. Jacobs, JP, Quintessenza, JA, Gaynor, JW, Burke, RP, Mavroudis, C. Congenital Heart Surgery Nomenclature and Database Project: aortopulmonary window. Ann Thorac Surg 2000; 69 (4 Suppl): S44–S49.Google Scholar
8. Marini, D, Calcagni, G, Ou, P, Bonnet, D, Agnoletti, G. Percutaneous treatment of aorto-pulmonary window in a one year old child. Int J Cardiol 2008; 129: e91–e93.Google Scholar
9. Viswanathan, S, Vaidyanathan, B, Kumar, RK. Transcatheter closure of the aortopulmonary window in a symptomatic infant using the Amplatzer ductal occluder. Heart 2007; 93: 1519.Google Scholar
10. Thanopoulos, BV, Eleftherakis, N, Tzannos, K, Stefanadis, C, Giannopoulos, A. Further experience with catheter closure of patent ductus arteriosus using the new Amplatzer duct occluder in children. Am J Cardiol 2010; 105: 1005–1009.Google Scholar