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Successful closure of the arterial duct in the setting of rubella syndrome

Published online by Cambridge University Press:  15 August 2006

Matthias Gorenflo ,
Herbert E. Ulmer  and
Konrad Brockmeier
Matthias Gorenflo
Affiliation:
Department of Paediatric Cardiology, Children's Hospital of the University of Heidelberg, Heidelberg, Germany
Herbert E. Ulmer
Affiliation:
Department of Paediatric Cardiology, Children's Hospital of the University of Heidelberg, Heidelberg, Germany
Konrad Brockmeier
Affiliation:
Department of Paediatric Cardiology, Children's Hospital of the University of Heidelberg, Heidelberg, Germany
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Abstract

A 9-year-old boy, with significant left-to-right shunting across a large duct in the context of rubella syndrome, was tested during catheterization to establish the feasability of occluding the duct with a device. The testing, including temporary closure of the duct and monitoring of pulmonary vascular reactivity to vasodilative substances, lead to the decision to implant an Amplatzer occluder. Sixteen months later, there was no residual shunting across the duct, and pulmonary arterial pressures had normalised. It remains unclear why the patient had not developed irreversible pulmonary vascular disease.

Keywords

Eisenmenger syndromepulmonary vascular diseaseductus arteriosusAmplatzer duct occluder
Type
Forum for Discussion
Information
Cardiology in the Young , Volume 12 , Issue 2 , March 2002 , pp. 200 - 202
Copyright
2002 Cambridge University Press

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