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Hoarseness after pulmonary arterial stenting and occlusion of the arterial duct

Published online by Cambridge University Press:  24 May 2005

Mervat Assaqqat
Affiliation:
King Faisal Heart Center, Department of Cardiovascular Diseases, Riyadh, Saudi Arabia
Ghassan Siblini
Affiliation:
King Faisal Heart Center, Department of Cardiovascular Diseases, Riyadh, Saudi Arabia
Fadel Al Fadley
Affiliation:
King Faisal Heart Center, Department of Cardiovascular Diseases, Riyadh, Saudi Arabia

Abstract

We report a 12-year-old girl who had multiple congenital cardiac lesions, specifically an arterial duct, left pulmonary arterial stenosis, an atrial septal defect in the oval fossa, and mild Ebstein's malformation of the tricuspid valve. Therapeutic transcatheter intervention was performed to stent the left pulmonary artery, occlude the arterial duct with a coil, and place a device to close the atrial septal defect. Subsequent to the catheterization, she complained of hoarseness, which was shown to be due to entrapment of the left recurrent laryngeal nerve between the coil used to close the arterial duct and the stent placed in the left pulmonary artery. Laryngoscopy confirmed paralysis of the recurrent laryngeal nerve.

Type
Brief Report
Copyright
© 2003 Cambridge University Press

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References

Moss AJ, Adams FH. Heart Disease in Infants, Children and Adolescents. Including the Fetus and Young Adult, 6th edn. Lippincott Williams & Wilkins, Philadelphia, USA, 2001, pp 666.
King TD, Thompson SL, Steiner C, Mills NL. Secundum atrial septal defect: non-operative closure during cardiac catheterization. JAMA 1976; 235: 25062509.Google Scholar
Rashkind WJ, Cuaso CC. Transcatheter closure of patent arterial duct: successful use in a 3.5 kg infant. Pediatr Cardiol 1979; 1: 37.Google Scholar
Martin EC, Diamond NG, Casarella WJ. Percutaneous transluminal angioplasty in non-atherosclerotic disease. Radiology 1980; 135: 2733.Google Scholar
O'Laughlin MP, Perry SB, Lock JE, Mullins CE. Use of endovascular stents in congenital heart disease. Circulation 1991; 83: 19231939.Google Scholar
Yip WC, Chan KY, Godman MJ. Simultaneous trans-catheter valvuloplasty and Amplatzer septal occlusion for pulmonary valve stenosis and secundum atrial septal defect. Ann Acad Med Singapore 1998; 4: 578581.Google Scholar
Fadley F, Halees Z, Galal O, Kumar N, Wilson N. Left pulmonary artery stenosis after transcatheter occlusion of persistent arterial duct. Lancet 1993; 341: 559560.Google Scholar
Zbar RI, Chen AH, Behrendt DM, Bell EF, Smith RJ. Incidence of vocal fold paralysis in infants undergoing ligation of patent arterial duct. Ann Thorac Surg 1996; 61: 814816.Google Scholar
Lu YH, Hsieh MW, Tong YH. Unilateral vocal cord paralysis following endotracheal intubation-a case report. Acta Anaesthesiol 1999; 37: 221224.Google Scholar
Yamada M, Hirano M, Ohkubo H. Recurrent laryngeal nerve paralysis. A10 year review of 564 patients. Autis Nasus Larynx 1983; 10 (Suppl): S1S15.Google Scholar