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2000, Number 3

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Arch Cardiol Mex 2000; 70 (3)

Percutaneous treatment of multiple heart defects

Ledesma M, David GF, Alva EC

Language: Spanish
References: 35
Page: 285-291
PDF size: 448.58 Kb.


ABSTRACT

We describe our experience in 6 cases with multiple congenital heart defects treated by percutaneous intervention. Their age ranged from 2.3 to 10 years (mean 6.1), with follow-up from 1 to 84 months (mean 28.8). Two cases had coarctation of the aorta (AC) and persistent ductus arteriosus (PDA). Two patients had pulmonary valve stenosis (PVS) and PDA, one case with aortic stenosis (AE) and PDA and one case with AC, mitral stenosis and subaortic stenosis (Shone’s Syndrome). Ductus arteriosus was occluded in all patients with Gianturco coils or Rashkind occluder. The valvular gradient post balloon decreased in cases with AC from 46 to 9 mmHg, with PVS from 110 to 10 mmHg and with AE from 40 to 14 mmHg. In a 8 year old boy with Shone’s syndrome, we performed angioplasty of aortic coarctation, mitral valvulopsty with Inoue catheter. He was refered to surgery for subaortic repair stenosis. All are asymptomatic at follow-up. In conclusion; percutaneous intervention is possible in patients with multiple congenital heart defects.


REFERENCES

  1. Kan js, white ri jr, mitchell se, gardner tj: Percutaneous balloon valvuloplasty: a new method for treating congenital pulmonary valve stenosis. N Engl J Med 1982; 370: 540-3.

  2. Rao ps, fawzy me, solymar c, mardini mk: Long-term results of balloon pulmonary valvuloplasty of valvular pulmonic stenosis. Am Heart J 1988; 6: 1291-6.

  3. Lababidi z, wu j, walls jt: Percutaneous balloon aortic valvuloplasty: results in 23 patients. Am J Cardiol 1984; 53: 194-97.

  4. Sos t, sniderman kw, ritter-sos b, strupp a, alonso dr: Percutaneous transluminal dilatation of coarctation of the aorta post mortem. Lancet 1979; 2: 970-1.

  5. Rashkind ws, cuaso cc: Transcatheter closure of patent ductus arteriousus; successful use in a 3.5 kg infant. Pediatric Cardiol 1979; 1: 3-7.

  6. Krichenko a, benson l, burrows p, moes c, mc laughlin p, freedom r: Angiographic classification of the isolated, persistently patent ductus arteriousus and implications for percutaneous catheter occlusion. Am J Cardiol 1989; 63: 877-880.

  7. Rashkind wj, mullins ce, hellebrand we, tait ma: Nonsurgical closure of patent ductus arteriousus: clinical application of the Rashkind PDA occluder system. Circulation 1987; 75: 583-592.

  8. King td, mills nl: Secundum atrial septal defects: nonoperative closure during cardiac catheterization. JAMA 1979; 235: 2506-9.

  9. Lock j, cockerham j, keane j, finley j, wakely p, fellows k: Transcatheter umbrella closure of the congenital heart defects. Circulation 1987; 75: 593-9.

  10. Inoue k, owaki t, nakamura t, kitamura f, miyamoto n: Clinical application of transvenous mitral commissurotomy by a new balloon catheter. J Throrac Cardiovasc Surg 1984; 87: 394-402.

  11. Heymann m: Patent ductus arteriosus. In Emmanoulides G, Baylen B. Heart disease in infants, children and adolescents. Third ed. Baltimore, Williams Wilkins 1983; 158-171.

  12. Galal o, al-fadley f, wilson n: Successful transcatheter closure of patent arterial duct six years after balloon dilatation of coarctation of the aorta. Int J Cardiol 1992; 35: 123-5.

  13. Geggel ri, hijazi zm, rhodes j: Interventional cardiac catheterization therapy fo combined coarctation of the aorta and patent ductus arteriosus: successful outcome in two infants. Cathet Cardiovasc Diagn 1996; 38: 67-70.

  14. Laohaprasitipron d, nana a, sriyoschati s, sriyaphai w, hongvisitgul c: Percutaneous coil embolization and balloon-expandable stenting; new treatments in intractable cardiac failure after Fontan procedure: a case report. J Med Assoc Thai 1996; 79: 320-4.

  15. Ledesma m, solorzano david f, alva c, montoya a, antezana j, arguero r: Comisurotomía mitral percutánea con catéter de Inoue en estenosis mitral congénita. Arch Inst Cardiol Mex 1995; 65: 261-3.

  16. Ledesma m, salgado jl, munayer j, rangel a, nuñez d, quintero r, et. al: Valvuloplastía pulmonar transcateterismo. Arch Inst Cardiol Mex 1986; 56: 243-6.

  17. Ledesma m, escobar jl, munayer j, acosta jl, rea b, arguero r: Valvuloplastía pulmonar percutánea. Resultados a corto y largo plazo. Arch Inst Cardiol Mex 1988; 58: 525-31.

  18. Ledesma m, munayer j, rangel a, nuñez d, salgado jl, rea b: Valvuloplastía aórtica percutánea. Bol Med Hosp Infant Mex 1986; 43: 265-8.

  19. Ledesma m, salgado jl, nuñez d, munayer j, rodríguez l, verdín r, et al: Comisurotomía mitral transcateterismo en la estenosis mitral reumática. Arch Inst Cardiol Mex 1986; 56: 421-4.

  20. Ledesma m, munayer j, salgado jl, nuñez d, quintero r, verdín r: Angioplastía transluminal percutánea en coartación aórtica. Informe de un caso. Arch Inst Cardiol Mex 1986; 56: 315-7.

  21. Ledesma m, acosta jl, munayer j, salgado jl, arias l, soberanis c: Angioplastía transluminal percutánea en coartación aórtica. Resultados a corto y mediano plazo. Arch Inst Cardiol Mex 1991; 61: 53-8.

  22. Ledesma m, acosta jl, arias l, salgado jl, munayer j, ramírez h, et al: Cierre transcateterismo del conducto arterioso. Rev Mex Cardiol 1992; 3: 9-15.

  23. Ledesma m, david f, alva c, montoya a, antezana j, garrido m, et al: Cierre transcateterismo del conducto arterioso (CTCA) con oclusor de Rashkind. Experiencia de 3.7 años. Arch Inst Cardiol Mex 1995; 65: 349-58.

  24. Ledesma m, david f, alva c, arguero r: Cierre transcateterismo del conducto arterioso mediante espirales (coils). Resultados inmediatos. Experiencia inicial en México. Arch Inst Cardiol Mex 1996; 66: 419-22.

  25. Mc crindle bw: Independent predictor of long-term results after balloon pulmonary valvuloplasty. Valvuloplasty and angioplasty of congenital anomalies (VACA) Registry investigators. Circulation 1994; 89(4): 1751-9.

  26. Witsemberg m, talsma m, rohmer j, hess j: Balloon valvuloplasty for valvular pulmonary stenosis in children over 6 months of age: initial results and long-term follow-up. Eur Heart J 1993; 14: 1657-60.

  27. Khan a, yousef a, mullins ce, sawyer w: Experience with 205 procedures of transcatheter closure ductus arteriousus in 182 patients, with special reference to residual shunts and long term follow-up. J Thorac Cardiovasc Surg 1992; 6: 1721-27.

  28. Hijazi z, geggel rl: Antegrade transcatheter closure of patent ductus arteriosus using single or multiple Gianturco coils: immediate and short-term results. Am J Cardiol 1994; 74: 925-29.

  29. Reeder gs, nishimura ra, holmes dr. Jr: Patient age and results of balloon aortic valvuloplasty. The Mansfield Scientific Registry experience. The Mansfield Scientific Aortic valvuloplasty, Registry investigators. J Am Coll Cardiol 1991; 17(4): 909-13.

  30. O’connor bk, beekman rh, rocchini ap, rosenthal a: Intermediate-term effectiveness of balloon valvuloplasty for congenital aortic stenosis. A prospective follow-up study. Circulation 1991; 84(2): 732-8.

  31. Piechaud jf, delogu ad, kachaner j, iserin l, aggoun y, bonnet d, et al: Percutaneous dilatation of recurrent coarctation of the aorta in the 1st year of life. Arch Mal Cour 1995; 88(5): 711-5.

  32. Phadke k, dyet jf, aber ccp, hartley w: Balloon angioplasty of adult aortic coarctation. Br Heart J 1993; 69(1): 36-40.

  33. Ledesma m, ramírez h, aldana t, acosta jl, munayer j, carpio jc, et al: Angioplastía transluminal percutánea de coartación aórtica en adolescentes y adultos. Resultados a mediano plazo. Arch Inst Cardiol Mex 1992; 62: 339-42.

  34. Suárez de lezo j, pan m, romero m, medina a, segura j, paulovic d, et al: Balloon-expandable stent repair of severe coarctation of aorta. Am Heart J 1995; 129: 1002-8.

  35. Ledesma m, díaz y díaz e, alva c, sánchez a, martínez a, jiménez s, et al: Stents en coartación aórtica. Resultados inmediatos. Arch Inst Cardiol Mex 1997; 67: 309-404.




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