Severe hemolysis complicating transcatheter occlusion of a patent ductus arteriosus: the importance of elimination of residual flow.
نویسندگان
چکیده
Transcatheter closure of a patent ductus arteriosus (PDA) is an established technique that may rarely be complicated by severe intravascular hemolysis due to residual shunt. Although conservative management has been reported, the usual approach is to invasively eliminate the residual shunt. We report a case where misjudgment of PDA size and subsequent attempted closure with only one coil led to incomplete closure and residual shunt, which was complicated by severe intramuscular hemolysis. Effectively closing the PDA with an Amplatzer Duct Occluder resulted in immediate resolution of the hemolysis.
منابع مشابه
Severe thrombocytopenia complicating transcatheter occlusion of a patent ductus arteriosus.
Transcatheter closure of a patent ductus arteriosus (PDA) is a well-established technique that may occasionally be complicated by severe thrombocytopenia. We report herein 6 cases of PDA in which circulating platelet counts were notably reduced within 18-48 hours following the procedure. A number of interventions, including blood-pressure control, protection against hemorrhage, and eradication ...
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An 18 month old girl with an angiographically measured ductus of 4.5 mm underwent transcatheter occlusion of the persistent arterial duct with a 17 mm Rashkind umbrella and an occluding spring coil. Severe intravascular haemolysis developed 20 hours later. Significant residual ductal leakage was noted and the residual duct measured 6 mm. Previous underestimation might have been related to ducta...
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ورودعنوان ژورنال:
- Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese
دوره 48 6 شماره
صفحات -
تاریخ انتشار 2007