Right Ventricular Outflow Tract Perforation and Stenting for a Premature Neonate with Pulmonary Valve Atresia and Double Outlet Right Ventricle
Pulmonary valve atresia (PVA) is a fatal pediatric cardiac condition and commonly associated with other anomalies such as double outlet right ventricle (DORV). There is a disagreement over the best surgical strategy for treating PVA in conjunction with DORV. Prematurely born neonates are considered...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Mustansiriya Medical Journal |
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| Online Access: | https://journals.lww.com/10.4103/mj.mj_33_24 |
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| author | Mohammed Rasool Hussein Maysam Yousif Abed Nabeeha Najatee Akram |
| author_facet | Mohammed Rasool Hussein Maysam Yousif Abed Nabeeha Najatee Akram |
| author_sort | Mohammed Rasool Hussein |
| collection | DOAJ |
| description | Pulmonary valve atresia (PVA) is a fatal pediatric cardiac condition and commonly associated with other anomalies such as double outlet right ventricle (DORV). There is a disagreement over the best surgical strategy for treating PVA in conjunction with DORV. Prematurely born neonates are considered high-risk group for early pulmonary artery shunt surgery as the staged repair is found to be associated with higher interstage mortality, while the primary repair may lead to frequent postrepair reinterventions due to the presence of associated developmental anomalies. In this report, we present the successful results of using percutaneous transcatheterization in a high-risk patient; a 6-h premature neonate who had DORV, PVA with other anomalies including situs inversus, levocardia, D-malposed great arteries without patent ductus arteriosus. This rapid interventional catheterization offered to the neonate has an immense advantage of lifesaving and the protection against the remolding effect on the right ventricle that usually develops when waiting for the palliative procedures or surgery to take place. |
| format | Article |
| id | doaj-art-1f95c8956a4f49759cc028b761055762 |
| institution | Kabale University |
| issn | 2070-1128 2227-4081 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Mustansiriya Medical Journal |
| spelling | doaj-art-1f95c8956a4f49759cc028b7610557622025-01-14T06:49:04ZengWolters Kluwer Medknow PublicationsMustansiriya Medical Journal2070-11282227-40812024-12-012329810010.4103/mj.mj_33_24Right Ventricular Outflow Tract Perforation and Stenting for a Premature Neonate with Pulmonary Valve Atresia and Double Outlet Right VentricleMohammed Rasool HusseinMaysam Yousif AbedNabeeha Najatee AkramPulmonary valve atresia (PVA) is a fatal pediatric cardiac condition and commonly associated with other anomalies such as double outlet right ventricle (DORV). There is a disagreement over the best surgical strategy for treating PVA in conjunction with DORV. Prematurely born neonates are considered high-risk group for early pulmonary artery shunt surgery as the staged repair is found to be associated with higher interstage mortality, while the primary repair may lead to frequent postrepair reinterventions due to the presence of associated developmental anomalies. In this report, we present the successful results of using percutaneous transcatheterization in a high-risk patient; a 6-h premature neonate who had DORV, PVA with other anomalies including situs inversus, levocardia, D-malposed great arteries without patent ductus arteriosus. This rapid interventional catheterization offered to the neonate has an immense advantage of lifesaving and the protection against the remolding effect on the right ventricle that usually develops when waiting for the palliative procedures or surgery to take place.https://journals.lww.com/10.4103/mj.mj_33_24pulmonary valve atresiaright ventricular outflow obstructionstent |
| spellingShingle | Mohammed Rasool Hussein Maysam Yousif Abed Nabeeha Najatee Akram Right Ventricular Outflow Tract Perforation and Stenting for a Premature Neonate with Pulmonary Valve Atresia and Double Outlet Right Ventricle Mustansiriya Medical Journal pulmonary valve atresia right ventricular outflow obstruction stent |
| title | Right Ventricular Outflow Tract Perforation and Stenting for a Premature Neonate with Pulmonary Valve Atresia and Double Outlet Right Ventricle |
| title_full | Right Ventricular Outflow Tract Perforation and Stenting for a Premature Neonate with Pulmonary Valve Atresia and Double Outlet Right Ventricle |
| title_fullStr | Right Ventricular Outflow Tract Perforation and Stenting for a Premature Neonate with Pulmonary Valve Atresia and Double Outlet Right Ventricle |
| title_full_unstemmed | Right Ventricular Outflow Tract Perforation and Stenting for a Premature Neonate with Pulmonary Valve Atresia and Double Outlet Right Ventricle |
| title_short | Right Ventricular Outflow Tract Perforation and Stenting for a Premature Neonate with Pulmonary Valve Atresia and Double Outlet Right Ventricle |
| title_sort | right ventricular outflow tract perforation and stenting for a premature neonate with pulmonary valve atresia and double outlet right ventricle |
| topic | pulmonary valve atresia right ventricular outflow obstruction stent |
| url | https://journals.lww.com/10.4103/mj.mj_33_24 |
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