Library

X
feed icon rss

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 1
    Electronic Resource
    Electronic Resource
    Interventioneller Verschluß einer isolierten Koronarfistel im Kleinkindesalter (1999)
    Springer
    Monatsschrift Kinderheilkunde 147 (1999), S. 39-41 
    Details
    ISSN: 1433-0474
    Keywords: Schlüsselwörter Koronarfistel ; Therapeutischer Herzkatheter ; Herzkatheterintervention ; Kleinkind ; Key words Coronary artery fistula ; transcatheter occlusion ; interventional catheterization in infancy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary In a male newborn a continuous systolic-diastolic murmur on the left sternal border was caused by a large coronary artery fistula from the left coronary artery to the right ventricle. Repeated echocardiographic evaluation revealed normal ventricular function and a slight increase in fistula diameter from 3,5 mm in the newborn period to 5 mm at the age of 18 months. Interventional catheterization was carried out electively. Complete occlusion of the fistulas was achieved using a flexible coil delievered with a 4 french catheter without any complication. Echocardiographic follow-up confirmed the postinterventional angiographic finding of complete occlusion of the fistula and documented normal ventricular function. Conclusion: Transcatheter occlusion of coronary artery fistulas is safe and feasable even in young children.
    Notes: Zusammenfassung Eine große Koronarfistel zwischen der proximalen linken Koronararterie und der Spitze des rechten Ventrikels manifestierte sich bei einem männlichen Neugeborenen durch ein kontinuierliches systolisch-diastolisches Herzgeräusch. Echokardiographische Verlaufskontrollen zeigten bei unbeeinträchtigtem Kind und guter Ventrikelfunktion eine langsame Zunahme des Fisteldurchmessers von initial 3,5 auf mehr als 5 mm. Im Alter von 20 Monaten wurde elektiv eine Herzkatheterisierung durchgeführt, bei der die Fistel komplikationslos über einen 4-Charr-Katheter mit einer flexiblen Spirale erfolgreich verschlossen werden konnte. Postinterventionelle Echokardiographien dokumentierten bei normaler Ventrikelfunktion den dauerhaften Verschluß der Fistel. Schlußfolgerung: Der interventionelle Verschluß von Koronarfisteln ist auch bei kleinen Kindern zuverlässig und sicher durchführbar.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001120050394
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 2
    Electronic Resource
    Electronic Resource
    Stepwise interventional approach in a neonate with pulmonary valve atresia and intact ventricular septum (1998)
    Springer
    European journal of pediatrics 157 (1998), S. 885-889 
    Details
    ISSN: 1432-1076
    Keywords: Key words Pulmonary atresia ; Interventional heart catheterization ; Balloon valvuloplasty ; Stent implantation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In neonates with pulmonary atresia and intact ventricular septum the aims of therapy are maintenance of pulmonary blood flow and right ventricular decompression in order to achieve right ventricular support of the pulmonary circulation. Recent developments in interventional heart catheterization with pulmonary radiofrequency-assisted balloon valvuloplasty and ductal stent implantation offer an alternative to the classical surgical approach. We report on a neonate with membranous pulmonary atresia and intact ventricular septum, in whom a large interatrial right-to-left shunt via the foramen ovale persisted after radiofrequency-assisted pulmonary balloon valvuloplasty on the 2nd day of life. The interatrial shunt prevented adequate right ventricular filling and antegrade pulmonary perfusion leading to severe cyanosis (transcutaneous oxygen saturation 40%). In order to increase pulmonary blood flow and raise left atrial pressure, the arterial duct was stented. After ductal stenting, prostaglandin was discontinued and the transcutaneous oxygen saturation remained stable around 89%. At follow up after 7 weeks the foramen ovale had decreased in size and only a small left-to-right shunt was present, documenting the effectiveness of this approach. Conclusion Based on the present case we propose a stepwise interventional approach for the neonate with pulmonary atresia and intact ventricular septum. If cyanosis persists after isolated pulmonary valvuloplasty despite adequate right ventricular function, ductal stent implantation can reduce interatrial shunting and thus improve oxygen saturation.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004310050960
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...