Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-29T12:12:16.009Z Has data issue: false hasContentIssue false
  • English
  • Français

Critical coarctation in an extremely low birth weight pre-term infant

Published online by Cambridge University Press:  08 June 2011

Anja Bialkowski ,
Winfried Baden ,
Axel R. Franz ,
Christian F. Poets ,
Michael Hofbeck  and
Gerhard Ziemer
Anja Bialkowski
Affiliation:
Division of Neonatology, University Children's Hospital, 72076 Tuebingen, Germany
Winfried Baden
Affiliation:
Division of Pediatric Cardiology, University Children's Hospital, 72076 Tuebingen, Germany
Axel R. Franz*
Affiliation:
Division of Neonatology, University Children's Hospital, 72076 Tuebingen, Germany
Christian F. Poets
Affiliation:
Division of Neonatology, University Children's Hospital, 72076 Tuebingen, Germany
Michael Hofbeck
Affiliation:
Division of Pediatric Cardiology, University Children's Hospital, 72076 Tuebingen, Germany
Gerhard Ziemer
Affiliation:
Division of Pediatric and Congenital Heart Surgery, University Children's Hospital, 72076 Tuebingen, Germany
*
Correspondence to: Dr A. R. Franz, MD, Division of Neonatology, University Children's Hospital, Calwerstr. 7, 72076 Tuebingen, Germany. Tel: +49 7071 29 82211; Fax: +49 7071 29 3969; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Neonatal interventions for critical aortic coarctation may be associated with considerable morbidity and mortality if the patient is extremely premature. We report the successful treatment of critical coarctation in a 25-week, 740-gram infant using initial clipping of the duct until continued prostaglandin E1 infusion delayed end-to-end anastomosis 7 weeks later.

Keywords

Aortic coarctationsurgerytherapynewbornpremature
Type
Brief Reports
Information
Cardiology in the Young , Volume 22 , Issue 1 , February 2012 , pp. 92 - 95
Copyright
Copyright © Cambridge University Press 2011

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. Ziemer, G, Jonas, RA, Perry, SB, Freed, MD, Castaneda, AR. Surgery for coarctation of the aorta in the neonate. Circulation 1986; 74: I25–I31.Google ScholarPubMed
2. Curzon, CL, Milford-Beland, S, Li, JS, et al. Cardiac surgery in infants with low birth weight is associated with increased mortality: analysis of the Society of Thoracic Surgeons Congenital Heart Database. J Thorac Cardiovasc Surg 2008; 135: 546–551.CrossRefGoogle Scholar
3. Freed, MD, Heymann, MA, Lewis, AB, Roehl, SL, Kensey, RC. Prostaglandin E1 in infants with ductus arteriosus-dependent congenital heart disease. Circulation 1981; 64: 899–905.CrossRefGoogle ScholarPubMed
4. Ades, A, Johnson, BA, Berger, S. Management of low birth weight infants with congenital heart disease. Clin Perinatol 2005; 32: 999–1015.CrossRefGoogle ScholarPubMed
5. Koch, A, Buheitel, G, Gerling, S, et al. Balloon dilatation of critical left heart stenoses in low birthweight infants. Acta Paediatr 2000; 89: 979–982.Google Scholar
6. Radtke, WA, Waller, BR, Hebra, A, Bradley, SM. Palliative stent implantation for aortic coarctation in premature infants weighing <1500 g. Am J Cardiol 2002; 90: 1409–1412.Google Scholar
7. Brodlie, M, Chaudhari, M, Hasan, A. Prostaglandin therapy for ductal patency: how long is too long? Acta Paediatr 2008; 97: 1303–1304.CrossRefGoogle Scholar
8. Sudarshan, CD, Cochrane, AD, Jun, ZH, Soto, R, Brizard, CP. Repair of coarctation of the aorta in infants weighing less than 2 kilograms. Ann Thorac Surg 2006; 82: 158–163.Google Scholar
9. Fiore, AC, Fischer, LK, Schwartz, T, et al. Comparison of angioplasty and surgery for neonatal aortic coarctation. Ann Thorac Surg 2005; 80: 1659–1664; discussion 1664–1665.Google Scholar