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Patent ductus arteriosus stenting for palliation of severe pulmonary arterial hypertension in childhood

Published online by Cambridge University Press:  07 July 2014

Michele D’Alto ,
Giuseppe Santoro ,
Maria T. Palladino ,
Francesco Parisi  and
Maria G. Russo
Michele D’Alto*
Affiliation:
Department of Cardiology, Second University of Naples, Naples, Italy
Giuseppe Santoro
Affiliation:
Department of Cardiology, Second University of Naples, Naples, Italy
Maria T. Palladino
Affiliation:
Department of Cardiology, Second University of Naples, Naples, Italy
Francesco Parisi
Affiliation:
Cardiology and Cardiac Surgery Department, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy
Maria G. Russo
Affiliation:
Department of Cardiology, Second University of Naples, Naples, Italy
*
Correspondence to: M. D’Alto, MD, PhD, FESC, Via Tino di Camaino 6, 80128 Naples, Italy. Tel: +39 081 7062501; Fax: +39 081 706 4275; E-mail: mic.dalto@tin.it
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Abstract

A 4.5-year-old child with severe idiopathic pulmonary arterial hypertension underwent right-heart catheterisation, showing suprasystemic pulmonary pressure and a tiny patent ductus arteriosus with trivial right-to-left shunting. The ductus arteriosus was successfully stented with a bare metal stent. At 1-year follow-up, a remarkable improvement was observed in clinical status, functional capacity, and serology. Echocardiography confirmed a favourable cardiac remodelling.

Keywords

Pulmonary arterial hypertensionpatent ductus arteriosushaemodynamics
Type
Images in Congenital Cardiac Disease
Information
Cardiology in the Young , Volume 25 , Issue 2 , February 2015 , pp. 350 - 354
Copyright
© Cambridge University Press 2014 

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