Iatrogenic obstruction of the aorta – a sequence of delayed, fatal complications after ‘off-label’ interventional persistent ductus arteriosus closure

Ireneusz Haponiuk; Konrad Paczkowski; Maciej Chojnicki; Radosław Jaworski

doi:10.5114/wiitm.2016.57620

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abstract:

Case report

Iatrogenic obstruction of the aorta – a sequence of delayed, fatal complications after ‘off-label’ interventional persistent ductus arteriosus closure

Ireneusz Haponiuk

,

Konrad Paczkowski

,

Maciej Chojnicki

,

Radosław Jaworski

Videosurgery Miniinv 2016; 11 (1): 44–48

DOI: https://doi.org/10.5114/wiitm.2016.57620

Online publish date: 2016/02/01

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AMA

Haponiuk I, Paczkowski K, Chojnicki M, Jaworski R. Iatrogenic obstruction of the aorta – a sequence of delayed, fatal complications after ‘off-label’ interventional persistent ductus arteriosus closure. Videosurgery and Other Miniinvasive Techniques. 2016;11(1):44-48. doi:10.5114/wiitm.2016.57620.

APA

Haponiuk, I., Paczkowski, K., Chojnicki, M.,  & Jaworski, R. (2016). Iatrogenic obstruction of the aorta – a sequence of delayed, fatal complications after ‘off-label’ interventional persistent ductus arteriosus closure. Videosurgery and Other Miniinvasive Techniques, 11(1), 44-48. https://doi.org/10.5114/wiitm.2016.57620

Chicago

Haponiuk, Ireneusz, Konrad Paczkowski, Maciej Chojnicki,  and Radosław Jaworski. 2016. "Iatrogenic obstruction of the aorta – a sequence of delayed, fatal complications after ‘off-label’ interventional persistent ductus arteriosus closure". Videosurgery and Other Miniinvasive Techniques 11 (1): 44-48. doi:10.5114/wiitm.2016.57620.

Harvard

Haponiuk, I., Paczkowski, K., Chojnicki, M.,  and Jaworski, R. (2016). Iatrogenic obstruction of the aorta – a sequence of delayed, fatal complications after ‘off-label’ interventional persistent ductus arteriosus closure. Videosurgery and Other Miniinvasive Techniques, 11(1), pp.44-48. https://doi.org/10.5114/wiitm.2016.57620

MLA

Haponiuk, Ireneusz et al. "Iatrogenic obstruction of the aorta – a sequence of delayed, fatal complications after ‘off-label’ interventional persistent ductus arteriosus closure." Videosurgery and Other Miniinvasive Techniques, vol. 11, no. 1, 2016, pp. 44-48. doi:10.5114/wiitm.2016.57620.

Vancouver

Haponiuk I, Paczkowski K, Chojnicki M, Jaworski R. Iatrogenic obstruction of the aorta – a sequence of delayed, fatal complications after ‘off-label’ interventional persistent ductus arteriosus closure. Videosurgery and Other Miniinvasive Techniques. 2016;11(1):44-48. doi:10.5114/wiitm.2016.57620.

PlumX metrics:

A 10-month-old girl was admitted to the Intensive Care Unit with the symptoms of critical cardiac decompensation. In the 3rd month of life, 3 kg bw, she underwent an interventional persistent ductus arteriosus (PDA) closure in a high-reference pediatric cardiology center. Echocardiography performed on admission showed myocardial injury, with poor contractility, mild pulmonary hypertension and severe stenosis of the isthmus of aorta. The girl was urgently referred for surgical removal with the use of extracorporeal circulation (ECC) and deep hypothermia circulatory arrest (DHCA) technique. In the 4th postoperative day (POD), she developed cardiovascular decompensation and died in the 7th POD due to circulatory arrest in the mechanism of refractory ventricular fibrillation. In autopsy there were found microscopic signs of apoptosis in parenchymal organs below iatrogenic ‘coarctation’, typical for chronic ischemia. In the segments proximal to iatrogenic aortic stenosis there were evident vascular changes characteristic for chronic severe arterial hypertension.

keywords:

Iatrogenic obstruction of the aorta – a sequence of delayed, fatal complications after ‘off-label’ interventional persistent ductus arteriosus closure

Ireneusz Haponiuk , Konrad Paczkowski , Maciej Chojnicki , Radosław Jaworski

congenital heart defect, interventional cardiology, pediatric cardiac surgery, complications

Ireneusz Haponiuk

,

Konrad Paczkowski

,

Maciej Chojnicki

,

Radosław Jaworski