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Ductus arteriosus banding to regulate excessive pulmonary blood flow in a neonate with necrotizing enterocolitis and complex congenital heart disease, including pulmonary atresia and total anomalous pulmonary venous return : a case report

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Title: Ductus arteriosus banding to regulate excessive pulmonary blood flow in a neonate with necrotizing enterocolitis and complex congenital heart disease, including pulmonary atresia and total anomalous pulmonary venous return : a case report
Authors: Oyasu, Takayoshi Browse this author
Hayakawa, Mineji Browse this author →KAKEN DB
Ebuoka, Noriyoshi Browse this author
Oba, Junichi Browse this author
Keywords: Ductus arteriosus banding
Necrotizing enterocolitis
Congenital heart disease
Right isomerism
Ductus-dependent pulmonary circulation
Case report
Issue Date: 20-Dec-2022
Publisher: BioMed Central
Journal Title: Journal of cardiothoracic surgery
Volume: 17
Issue: 1
Start Page: 327
Publisher DOI: 10.1186/s13019-022-02075-3
Abstract: Background: Patients with right isomerism have accompanying complex congenital heart disease, which is characterized by pulmonary atresia and total anomalous pulmonary venous return. Balanced regulation of the systemic and pulmonary circulation is essential for successful management, especially for cases complicated with necrotizing enterocolitis (NEC). Case presentation: A 6-day-old male neonate with a single ventricle, pulmonary atresia, patent ductus arteriosus (DA), and total anomalous pulmonary venous return associated with right isomerism was admitted because of dyspnea, cyanosis, and melena. The patient presented circulatory incompetence due to excessive pulmonary blood flow, resulting in NEC. The patient underwent DA banding and colectomy following continuous intravenous infusion of prostaglandin E1 at six days. Subsequently, his condition improved, reaching a systemic oxygen saturation of around 80%. He underwent a bidirectional Glenn procedure and closure of colectomy at the ages of 5 and 6 months, respectively. Conclusion: DA banding can be an alternative to placing an aortopulmonary shunt, which is conventional in patients with ductus-dependent pulmonary circulation, because DA banding is feasible without cardiopulmonary bypass.
Type: article
URI: http://hdl.handle.net/2115/88123
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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