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Successful ductal stent implantation for initial palliation in two patients with aortic atresia and interrupted aortic arch

Published online by Cambridge University Press:  13 March 2024

Ensar Duras Open the ORCID record for Ensar Duras [Opens in a new window] ,
Hacer Kamali ,
Selman Gokalp Open the ORCID record for Selman Gokalp [Opens in a new window] ,
Aysel Turkvatan  and
Alper Guzeltas Open the ORCID record for Alper Guzeltas [Opens in a new window]
Ensar Duras*
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center, İstanbul, Turkey
Hacer Kamali
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center, İstanbul, Turkey
Selman Gokalp
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center, İstanbul, Turkey
Aysel Turkvatan
Affiliation:
Department of Radiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center, İstanbul, Turkey
Alper Guzeltas
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center, İstanbul, Turkey
*
Corresponding author: E. Duras; Email: ensarduras@gmail.com
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Abstract

The coexistence of aortic valve atresia and interrupted aortic arch are an extremely rare condition. In this pathology, blood flow to the ascending aorta and coronary arteries should be provided through the ductus arteriosus or collaterals originating from the descending aorta. In rare cases where bilateral ductus arteriosus is present, they can provide circulation. Here, we report two cases in which coronary arteries and ascending aorta were supplied by one ductus arteriosus and distal systemic circulation is supplied by a second ductus arteriosus in one patient and a collateral artery in the other. Initial palliation was successfully performed by bilateral pulmonary artery banding and transcatheter ductal stent implantation in both cases.

Keywords

Aortic atresiainterrupted aortic archbilateral ductus arteriosusstentpalliation
Type
Brief Report
Information
Cardiology in the Young , First View , pp. 1 - 3
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Copyright
© The Author(s), 2024. Published by Cambridge University Press

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References

Baker-Smith, CM, Milazzo, AS, Frush, DP, et al. Double aortic arch with aortic atresia and left-sided type B interruption. Congenit Heart Dis 2010; 5: 316–320. DOI: 10.1111/j.1747-0803.2009.00341.x.CrossRefGoogle ScholarPubMed
Decaluwe, W, Delhaas, T, Gewillig, M. Aortic atresia, interrupted aortic arch type C perfused by bilateral arterial duct. Eur Heart J 2005; 26: 2333–2333. DOI: 10.1093/eurheartj/ehi517.CrossRefGoogle ScholarPubMed
Lacour-Gayet, F, Kandachar, P, Al-Bulushi, A, Maddali, MM. How could aortic atresia with interrupted aortic arch survive? about a neonatal repair on two ventricles. Semin Thorac Cardiovasc Surg 2019; 31: 118–121. DOI: 10.1053/j.semtcvs.2018.07.009.CrossRefGoogle ScholarPubMed
Yang, EL, Bohun, CM, Muralidaran, A. Aortic valve atresia and type C interrupted aortic arch with circle of Willis dependent circulation: a case of successful biventricular repair in the neonatal period. Cardiol Young 2022; 19: 1–2. DOI: 10.1017/S1047951122002876.Google Scholar
Rahmath, MRK, Boudjemline, Y, Kamal, RY. Aortic atresia with interrupted aortic arch and bilateral arterial ductus: a successful initial palliation. Cardiol Young 2020; 30: 1732–1734. DOI: 10.1017/S1047951120002942.CrossRefGoogle ScholarPubMed