Late manifestation coarctation of the aorta in a premature infant 4-month post-percutaneous device closure of a patent ductus arteriosus

Patent ductus arteriosus is the most common cardiovascular abnormality in premature infants. With newly available percutaneous devices, centres are reporting high rates of success and favourable safety profiles with percutaneous closure of haemodynamically significant ductus arteriosi in infants und...

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Bibliographic Details
Published in:Cardiology in the young 2019-12, Vol.29 (12), p.1556-1558
Main Authors: Serrano, Ryan M, Rodefeld, Mark D, Alexy, Ryan
Format: Article
Language:English
Subjects:
Aorta
Babies
Catheters
Congenital diseases
Coronary vessels
Echocardiography
Embolization
Gestation
Infants
Medical imaging
Microvasculature
Newborn babies
Patients
Pulmonary arteries
Ultrasonic imaging
Veins & arteries
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Summary:Patent ductus arteriosus is the most common cardiovascular abnormality in premature infants. With newly available percutaneous devices, centres are reporting high rates of success and favourable safety profiles with percutaneous closure of haemodynamically significant ductus arteriosi in infants under 1000 g. We report the case of a 5-week-old, previous 25-week gestation, 1200-g infant who underwent successful percutaneous closure of a ductus arteriosus with a Medtronic Microvascular Plug but who developed late-term coarctation from the device. This case should prompt practitioners to consider the need and timing of follow-up echocardiograms in this population and sheds light on a newly reported long-term complication of device closure in premature infants.
ISSN:1047-9511
1467-1107
DOI:10.1017/S1047951119002555