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[The closure of persistent ductus arteriosus using coils in a child with Wilm's tumor]
M Chojnicki1, J Ereciński, J Aleszewicz-Baranowska
1Kliniki Kardiologii Dzieciecej Instytutu Pediatrii Akademii Medycznej w Gdańsku.
Insights
Pediatric cancer patients undergo echocardiography to screen for heart issues. A young girl with Wilms tumor had a persistent ductus arteriosus (PDA) successfully closed with coils, enabling chemotherapy.
Area of Science:
- Pediatric Cardiology
- Pediatric Oncology
- Medical Imaging
Background:
- Echocardiography is standard for children with cancer to detect cardiovascular abnormalities.
- Cardiovascular health is crucial for tolerating cancer therapies.
Observation:
- A 4.5-year-old girl diagnosed with Wilms tumor presented with a persistent ductus arteriosus (PDA).
- The PDA was identified during a routine echocardiographic examination.
Findings:
- Immediate coil closure of the PDA was performed due to potential cardiotoxicity from chemotherapy.
- The successful intervention allowed for the administration of the complete therapeutic protocol.
Implications:
- Timely management of congenital heart defects like PDA is vital in pediatric cancer patients.
- Integrating cardiac care with oncology ensures comprehensive treatment and improves patient outcomes.
- Echocardiography plays a critical role in the multidisciplinary management of childhood cancers.
Abstract:
In Pediatric Institute of Medical University of Gdańsk in all children with neoplasmatic diseases the echo examination is performed, due to exclude coexisting abnormalities of cardiovascular system. During this kind of procedure in 4.5-year-old girl with Wilms tumour the persistent ductus arteriosus was described. Because of the chemotherapy design and its potential cardiotoxicity the closure of PDA using coils was performed immediately. The successful closure of PDA gave the chance to apply the whole therapeutic protocol.